轻度子痫前期患者计划剖宫产与计划阴道分娩的临床比较研究  

Clinical comparison of planned cesarean section and planned vaginal delivery in mild preeclampsia

作　　者：范静[1] 曾凤蓉[1] 李会琴[1] 郭樱[1] 卫焱星[1] 

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518133

出　　处：《现代医药卫生》2013年第12期1763-1765,共3页Journal of Modern Medicine & Health

基　　金：深圳市科技计划项目(201103050)

摘　　要：目的比较轻度子痫前期患者计划剖宫产和计划阴道分娩的临床结局。方法随机选择2012年2月至2013年2月计划剖宫产和计划阴道分娩的轻度子痫前期患者,各70例;另外随机选择70例同期住院经阴道分娩的健康产妇作为对照。比较两种分娩方式的临床结局,并分析两种分娩方式的优、缺点。结果计划阴道分娩组患者产后出血、晚期产后出血、产后感染、术后患病率、住院时间、住院费用等明显小于计划剖宫产组(P<0.05);而两组新生儿窒息率、新生儿体质量、新生儿Apgar评分比较,差异无统计学意义(P>0.05),而计划阴道分娩组新生儿患病率明显少于计划剖宫产组(P<0.05)。结论对轻度子痫前期患者计划阴道分娩有利于减少产后并发症、剖宫产率,临床上值得提倡。Objective To compare the clinical outcomes of planned caesarian section and planned vaginal delivery in mild preeclampsia. Methods 70 cases of planned caesarian section in preeclampsia and 70 cases of planned vaginal delivery in preeclampsia from Febraury 2012 to Febraury 2013 were randomly selected. In addition, other contemporaneous 70 healthy par- turients with viginal delivery were randomly selected as control.The clinical outcomes were compared between the two kinds of delivery method and their advantages and disadvantages were analyzed. Results The planned vaginal delivery group was signifi- cantly superior to the planned caesarian section in the aspects of postpartum hemorrhage, late postpartum hemorrhage, postpartum infection, postoperative morbidity, hospital time and hospital cost（P〈0.05 ） ;and there were no difference between the two groups in neonatal asphyxia, neonatal birth weight and neonatal Apgar score （P〉0.05）, while neonatal morbidity in planned vaginal deliv- ery group was obviously lower than that in the planned ceasarian section （P〈0.05）. Conclusion In mild preeclampsia pregnan- cies, planned vaginal delivery is helpful to reduce postpartum complications and caesarian section rate and deserves to be promoted clinically.

关 键 词：先兆子痫 剖宫产术 分娩 阴道 对比研究 

分 类 号：R714[医药卫生—妇产科学]