宫颈治疗方式对妊娠结局及分娩方式的影响  

Effect of different cervical treatment on pregnancy outcome and delivery mode

作　　者：陈湘漪[1] 孙国强[1] 管平[1] 李敏[1] 

机构地区：[1]湖北省妇幼保健院产科,武汉430070

出　　处：《重庆医学》2017年第8期1054-1056,共3页Chongqing medicine

摘　　要：目的探讨宫颈治疗对妊娠结局及分娩方式的影响。方法收集2012年6月至2015年6月该院住院分娩且孕前在该院行各类宫颈治疗的初产妇共249例为研究组,研究组按不同治疗方式分为手术治疗组97例(环形电刀锥切术和宫颈冷刀锥切术)及物理治疗组152例(激光和聚焦超声)。选取同期在该院住院分娩,无宫颈治疗史的初产妇250例作为对照组。观察各组的早产率、胎膜早破率、分娩方式、产程、新生儿体质量。结果 (1)研究组剖宫产率为65.86%,早产率为13.65%,胎膜早破发生率为20.48%,均明显高于对照组,差异有统计学意义(χ~2=18.428、10.452、8.066,P<0.05)。研究组新生儿体质量为(3 360.71±517.08)g,较对照组轻,差异有统计学意义(χ~2=2.459,P<0.05)。(2)宫颈手术治疗组及物理治疗组剖宫产率分别为76.28%和59.21%,差异有统计学意义(χ~2=7.681、P<0.01)。两组胎膜早破发生率分别为28.87%和15.13%,差异有统计学意义(χ~2=6.858,P<0.01)。(3)手术治疗组、物理治疗组、对照组顺产产程时间分别为(7.18±2.97)、(7.27±3.17)和(7.71±2.88)h,各组间比较差异无统计学意义(χ~2=0.915、0.790、0.143,P>0.05)。结论各类宫颈治疗增加了早产、胎膜早破及剖宫产率,对产程时间无影响。Objective To explore the pregnancy outcome and delivery method after different cervical treatment.Methods A total of 249primipara（research group）following the different cervical treatment before pregnancy were divided into operative group（97cases）and physiotherapy group（152cases）according to the type of cervical treatment.250primipara（control group）of the same period had not undergone the cervical treatment.All patients were delivered in maternal and child health care hospital of Hubei province from June 2012 to June 2015.The rates of cesarean section,the preterm delivery,premature rupture of membranes,the duration of labor,neonatal weight were compared between the groups.Results（1）In the research group,the rates of cesarean section（65.86%）,the risk of the preterm delivery（13.65%）,premature rupture of membranes（20.48%）,were significantly higher than control group（χ2=18.428,10.452,8.066,P〈0.01）.The neonatal weight of research group（3 360.71±517.08）g was lower in comparison with that of control group（χ2=2.459,P〈0.05）.（2）The rates of cesarean section of operative group and physiotherapy group was 76.28% and 59.21%（P〈0.05）.The premature rupture of membranes 28.87% and 15.13% in each group（P〈0.05）.（3）The labor duration of operative group（7.18±2.97）h,physiotherapy group（7.27±3.17）h and control group（7.71±2.88）h has no significant difference（χ2=0.915,0.790,0.143,P〈0.05）.Conclusion cervical treatment increases the rates of cesarean section,the risk of preterm delivery and premature rupture of membranes.But there was no effect on the duration labor of various types of cervical treatment.

关 键 词：妊娠结局 宫颈治疗 分娩方式 

分 类 号：R714[医药卫生—妇产科学]