摘要
目的研究不同剖宫产手术时机对瘢痕子宫再次妊娠产妇应激反应及分娩风险的影响。方法选取100例瘢痕子宫再次妊娠产妇作为研究对象,根据剖宫产时机不同分为对照组(37周≤孕周<39周)与观察组(孕周≥39周),各50例。所有产妇均进行剖宫产手术,比较两组分娩前后应激指标、妊娠结局、并发症发生情况。结果产后两组去甲肾上腺素(NA)、皮质醇(Cor)以及醛固酮(ALD)指标均高于产前,且观察组低于对照组(P<0.05)。观察组产后出血量少于对照组,产后住院时间短于对照组,新生儿Apgar评分高于对照组,新生儿呼吸系统疾病发生率低于对照组(P<0.05)。观察组并发症发生率4.00%低于对照组的18.00%(P<0.05)。结论孕周≥39周为瘢痕子宫再次妊娠产妇的良好剖宫产手术时机,其可有效减少手术应激反应,改善妊娠结局的同时,降低相关并发症发生风险,值得临床推广。
Objective To study the effects of different cesarean section operation timing on stress response and delivery risk of pregnant women with second pregnancy with scarred uterus.Methods 1o0 pregnant women with scar uterus were selected as the research objects,and were divided into control group(37 weeks≤gestation week<39 weeks)and observation group(gestation weeks≥39 weeks)according to the different timing of cesarean section,50 cases in each group.All the parturients underwent cesarean section.The stress index,pregnancy outcome and complications were compared between the two groups.Results The indexes of norepinephrine(NA),cortisol(Cor)and aldosterone(ALD)in the two groups were higher than those in the prenatal group,and the observation group was lower than the control group(P<0.05).The postpartum blood loss and hospital stay in the observation group were less than those in the control group,the Apgar score of newborns was higher than that in the control group,and the incidence of respiratory diseases of newborns was lower than that in the control group(P<0.05).The complication rate of observation group was 4.00%,which was lower than that of control group(18.00%)(P<0.05).Conclusion Gestational weeks≥39 weeks is a good opportunity for cesarean section operation,which can effectively reduce the surgical stress reaction,improve the pregnancy outcome and reduce the risk of related complications,and is worthy of clinical promotion.
作者
朱娟
Zhu Juan(Department of Obstetrics and Gynecology,Suqian Zhongwu Hospital,Suqian 223800,China)
出处
《实用妇科内分泌电子杂志》
2024年第8期32-34,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
剖宫产
手术时机
瘢痕子宫再次妊娠
应激反应
分娩风险
Cesarean section
Operation timing
A second pregnancy with a scarred uterus
Stress response
Childbirth risk
