摘要
目的探究并分析瘢痕子宫再次妊娠时不同分娩方式。方法采用随机数字表法随机抽取120例瘢痕子宫再次妊娠的患者,随机分成两组,试验组采用阴道分娩方式,对照组采用剖宫产的方式,比较两组患者经不同方式分娩后新生儿以及产妇情况。结果试验组患者产后出血的发生率为8.33%,子宫内膜异位10.00%,产褥感染13.33%,而对照组产后出血发生率为35.00%,子宫内膜异位36.67%,产褥感染18.33%,两组比较,差异有统计学意义(P<0.05)。试验组新生儿窒息1例、新生儿感染9例、新生儿颅内出血9例,而对照组采用阴道分娩新生儿窒息3例、新生儿感染11例、新生儿颅内出血12例,两组比较,差异无统计学意义(P>0.05)。结论剖宫产后再次分娩的患者,在符合阴道分娩的指标时,可选择阴道分娩进行分娩,安全性较高,值得在临床上推广。
Objective To investigate and analyze different delivery modes for repeated pregnancy after uterine scar. Methods 120 cases of patients with repeated pregnancy after uterine scar were randomly selected and divided into two groups according to the random number table. Patients in the experimental group were given vaginal delivery, while patients in the control group were giv-en cesarean section. The conditions of newborns and puerperants after different labor modes in two groups were compared. Results The incidence of postpartum hemorrhage, endometriosis, puerperal infection of the experimental group was 8.33%, 10.00%, 13.33%,respectively, and that of the control group was 35.00%, 36.67%, 18.33%, separately, the differences between two groups were statistically significant, P〈0.05. In the experimental group, there was 1 case of neonatal asphyxia, 1 case of neonatal infec-tion, 9 cases of newborns with intracranial hemorrhage, while in the control group adopted vaginal delivery, there were 3 cases of neonatal asphyxia, 11 cases of neonatal infection, 12 cases of newborns with intracranial hemorrhage, the differences were not sta-tistically significant, P〉0.05. Conclusion If it is in accord with the indexes of vaginal delivery, vaginal delivery can be the choice for the one who has repeated pregnancy after uterine scar. It is high safe, and worthy of clinical practice.
出处
《中外医疗》
2014年第12期33-34,共2页
China & Foreign Medical Treatment
关键词
瘢痕子宫
再次妊娠
剖宫产
阴道分娩
观察研究
Uterine scar
Repeated pregnancy
Cesarean section
Vaginal delivery
Observational study
