60例剖宫产后疤痕子宫再次妊娠分娩方式的临床分析  

Clinical Analysis of 60 Cases of Post-pregnancy Delivery of Scar Uterus after Cesarean Section

作　　者：张秀梅 崔丽尧 ZHANG Xiu-mei;CUI Li-yao(Department of Obstetrics and Gynecology, Third People's Hospital of Honghe Prefecture, Gejiu, Yunnan Province, 661000 China)

机构地区：[1]云南省红河州第三人民医院妇产科,云南个旧661000

出　　处：《中外医疗》2019年第10期93-95,共3页China & Foreign Medical Treatment

摘　　要：目的对剖宫产后疤痕子宫再次妊娠分娩方式进行临床分析。方法方便选取2017年6月—2018年7月在该医院进行剖宫产后疤痕子宫再次分娩的60例患者为研究对象,随机分为对照组和观察组,每组30例。对照组行剖宫产妊娠分娩,观察组行阴道妊娠分娩。将两组分娩成功率、产妇出血量、住院时间、新生儿和产妇不良事件发生情况以及新生儿体重阿氏评分进行比较分析。结果两组产妇分娩出血量、住院时间以及新生儿产妇不良事件发生率相比,观察组明显低于对照组(χ~2=34.448 4,P<0.05);新生儿阿氏评分、体重相比,两组有差异性(t=3.680 6,6.239 0,P<0.05);分娩成功率相比两组差异无统计学意义(P>0.05)。结论剖宫产再次分娩采用阴道分娩可以减少出血量和住院时间,并能减少母婴不良反应事件,可以应用推广。Objective To analyze the clinical mode of re-pregnancy and delivery of scar uterus after cesarean section. Methods Convenient select sixty patients with recurrent uterine scar after cesarean section were enrolled in the author's hospital from June 2017 to July 2018. They were randomly divided into control group and observation group, with 30 cases in each group. The control group received cesarean delivery and delivery, and the observation group received vaginal pregnancy and delivery. The two groups of delivery success rate, maternal bleeding volume, hospitalization time, neonatal and maternal adverse events, and neonatal weight Ashi score were compared and analyzed. Results Compared with the control group, the observation group was significantly lower than the control group(χ^2=34.448 4, P<0.05). The neonatal Ashi score and body weight were compared. There were differences between the two groups(t=3.680 6、6.239 0,P<0.05);the success rate of delivery was not significantly significant different between the two groups (P>0.05). Conclusion Vaginal delivery after cesarean section delivery can reduce the amount of bleeding and hospitalization, and can reduce the adverse events of maternal and child, which can be applied and promoted.

关 键 词：剖宫产 疤痕子宫 再次分娩方式选择 临床分析 

分 类 号：R719.8[医药卫生—妇产科学]