关于择期剖宫产与急诊剖宫产的临床特征的对比研究  

Comparison of Clinical Features between Elective Caesarean Section and E-mergency Caesarean Section

作　　者：危秀蓉 杨成芬 张久娣 

机构地区：[1]四川省西昌市妇幼保健院妇产科,四川西昌615000

出　　处：《中外医疗》2015年第14期51-52,共2页China & Foreign Medical Treatment

摘　　要：目的回顾性分析择期剖宫产与急诊剖宫产的临床资料,解析急诊剖宫产的危险性。方法收集2010年1月—2014年1月在该院剖宫产的产妇资料共2135例,按开始手术与分娩发动和破膜的关系分为择期剖宫产与急诊剖宫产两组,其中择期剖宫产642例为A组,急诊剖宫产1493例为B组,进行回顾性分析。结果 A组、B组手术时间分别为(45.2±15.1)min、(60.7±13.5)min;A组、B组手术中出血量分别为(305.1±107.4)m L、(425.4±218.2)m L;A组、B组术后肛门排气时间分别为(23.5±10.2)h、(29.0±13.6)h;以上数据两组相比差异有统计学意义(P<0.05)。A组、B组取头困难率分别为6.72%、10.41%;A组、B组子宫切口撕裂率分别为1.68%、5.15%;A组、B组新生儿窒息率分别为2.45%、6.73%;A组、B组术后早期切口感染率分别为3.90%、7.61%;A组、B组术后发热率分别为30.17%、41.31%,以上数据两组相比差异有统计学意义(P<0.01)。结论急诊剖宫产比择期剖宫产具有更高的安全隐患和手术风险,在降低手术风险的同时也应尽量减少急诊剖宫产。Objective To retrospectively analyze the the clinical data of elective caesarean section and emergency caesarean sec-tion, and the danger of emergency caesarean section. Methods 2135 cases in our hospital From January 2010 to January 2014 , according to the relation between the start operation and the onset of labor and rupture of membranes, were divided into elective caesarean section group （Group A,n=642） and emergency caesarean section （Group B, n=1493）. The data of all the patients were retrospectively analyzed. Results Group A, group B, operation time were （45.2±15.1）min, （60.7±13.5）min;A group, B group, amount of bleeding during operation were （305.1±107.4）mL, （425.4±218.2）mL; Anal exhaust time of A group, B group after op-eration were （23.5±10.2）h, （29.0±13.6）h;there was statistical significance in the above data difference between the two groups （P〈0.05）. Group A, group B difficult to take out the fetal head rate respectively is 6.72%, 10.41%;Group A, group B of uterine in-cision laceration rate respectively is 1.68%, 5.15%; group A, group B of newborn infants asphyxia rate respectively is 2.45%, 6.73%;Group A, group B of early postoperative incision infection rate respectively is 3.90%, 7.61%;Group A, group B, postoper-ative fever rate were 30.17%, 41.31%, there was statistical significance in the above data difference between the two groups （P〈0.01）. Conclusion Emergency caesarean section has more hidden danger and higher operation risk than elective caesarean sec-tion,so it should be minimized .

关 键 词：择期剖宫产 急诊剖宫产 临床特征 对比研究 

分 类 号：R4[医药卫生—临床医学]