摘要
目的研究将Bishop评分作为瘢痕子宫孕妇阴道分娩指征的可行性,分析Bishop评分体系在瘢痕子宫分娩中的时机判断中的应用价值。方法选择2017年4月至2017年12月在我院待产的120瘢痕子宫产妇进行研究。根据Bishop评分的高低,将产妇分为高分组(Bishop评分>3分)和低分组(Bishop评分≤3分)。记录两组孕妇分娩方式,产程时间、住院时间及产时出血量,并对两组妊娠并发症状况情况进行分析。结果 Bishop评分高分组阴道分娩率(73.58%)高于低分组(31.34%),两组比较差异有统计学意义(χ~2=21.121,P<0.001)。高分组产妇的住院时间[(9.53±2.14)h]短于低分组[(10.23±2.14)h],高分组产时出血量[(158.21±30.12)ml]少于低分组[(492.23±90.86)ml],两组比较差异有统计学意义(P<0.05)。高分组产妇产后出血发生率(9.43%)低于低分组(25.37%),两组比较差异有统计学意义(P<0.05)。高分组胎儿窘迫发生率(11.32%)低于低分组(28.36%),两组比较差异有统计学意义(P<0.05)。结论瘢痕子宫孕妇可进行阴道试产,Bishop评分高的瘢痕子宫孕妇阴道分娩率较高,产后孕妇及新生儿并发症发生率较低。Bishop评分可作为瘢痕子宫孕妇阴道分娩指征。
Objective To study the feasibility of using the Bishop score as a sign of vaginal delivery in pregnant women with scar uterus,and to analyze the application value of the Bishop scoring system in the judgment of the timing of the labor in the scar uterus. Methods Totally 120 pregnant women with scar uterus were selected who were to be delivered in our hospital from April 2017 to December 2017. According to the Bishop score,the parturients were divided into high score group （Bishop score3） and low score group （Bishop score≤3）. The delivery mode,duration of labor,hospitalization time and intrapartum bleeding of two groups were recorded,and the pregnancy complications of the two groups were analyzed. Results The vaginal delivery rate of the high score group （73.58%） was higher than that of the low score group （31.34%）,and there were statistically significant differences between the two groups （χ2= 21.121,P〈0.001）. The length of hospitalization time of the high score group [（9.53±2.14） h] was shorter than that of the low scrore group [（10.23± 2.14） h],production hemorrhage of the high score group [（158.21±30.12） ml]was less than that of the low score group [（492.23±90.86） ml],and there were significant differences between the two groups （P 0.05）. The incidence of postpartum hemorrhage （9.43%） was lower than that in Lower group （25.37%）,and there were statistically significant differences between the two groups （P〈0.05）. The incidence of fetal distress in the high score group（11.32%） was lower than that of the low score group（28.36%）,and there were significant differences between the two groups （P〈0.05）. Conclusion Pregnant women with scar uterus can undergo vaginal trial production. The rate of vaginal delivery in pregnant women with high Bishop scores is higher,and the incidence of postpartum and neonatal complications is low.The Bishop score can be used as an indication for vaginal delivery in pregnant women with scarred uterus.
作者
钱晶晶
陈鸳鸳
Qian Jinxing;Chen Yuanyuan(Department of Obstetrics and Gynecology,Yuyao People＇s Hospita,Yuyao 315400,China)
出处
《中国医院统计》
2018年第4期250-252,共3页
Chinese Journal of Hospital Statistics
基金
余姚市人民医院院级课题(2017QA03)
