瘢痕子宫产妇二次剖宫产与非瘢痕子宫剖宫产的临床对照研究  

A Clinical Control Study of the S econd Cesarean Section of the Parturient with Scarred Uterus and Non-scarred Uterus Cesarean Section

作　　者：朱美娟 ZHU Meijuan(Department of Obstetrics and Gynecology,Zhangzhou People's Hospital,Zhangzhou,Fujian Province,363000 China)

机构地区：[1]漳州市人民医院妇产科,福建漳州363000

出　　处：《中外医疗》2021年第35期44-47,共4页China & Foreign Medical Treatment

摘　　要：目的对比分析瘢痕子宫产妇二次剖宫产与非瘢痕子宫剖产妇剖宫产的分娩情况。方法随机选取该院妇产科于2020年1月—2021年1月收治的30例瘢痕子宫二次剖宫产产妇纳入观察组,将同期在该院生产的非瘢痕子宫初次妊娠并选择剖宫产为分娩方式的产妇30例纳入对照组。对比两组产妇术中出血量、手术总时长、持续恶露时间、术后离床活动时间、前置胎盘、先兆子宫破裂、产后大出血,以及两组产妇产后入住ICU病房的发生情况。结果观察组产妇术中出血量、手术总时长、持续恶露时间、术后离床活动时间4项指标的具体值分别为(283.15±43.18)mL、(61.37±6.38)min、(22.35±4.52)d、(7.63±2.48)d,均高于对照组的(153.63±25.16)mL、(45.28±4.72)min、(14.72±3.05)d、(4.81±1.29)d,差异有统计学意义(t=14.195、11.105、7.664、5.525,P<0.001);观察组产妇术后并发症发生率为30.00%,高于对照组的3.33%,差异有统计学意义(χ^(2)=7.680,P=0.005);观察组产妇产后入住ICU病房的发生率20.00%,高于对照组的0.00%,差异有统计学意义(χ^(2)=4.629,P=0.031)。结论相较于非瘢痕子宫剖宫产产妇,瘢痕子宫二次剖宫产产妇的分娩过程难度更大,术后并发症发生率更高,出现危险的概率更大。Objective To compare and anlyze the delivery conditions of the second cesarean section of women with scarred uterus and those with non-scarred uterus.Methods 30 cases of second cesarean section women with scarred uterus who were admitted to the department of obstetrics and gynecology in the hospital from January 2020 to January 2021 were randomly selected and included in the observation group.The non-scarred uterus delivered in the same period in the same period were selected for the first pregnancy and cesarean section was selected.30 case who gave birth as a delivery method were included in the control group.The amount of intraoperative blood loss,total duration of surgery,duration of lochia,postoperative ambulation time,placenta previa,threatened uterine rupture,postpartum hemorrhage,and the incidence of puerperal admission to ICU in the two groups were compared.Results The specific values of blood loss,total duration of surgery,duration of lochia and postoperative ambulation time in the observation group were(283.15±43.18)mL,(61.37±6.38)min,(22.35±4.52)d,(7.63±2.48)d,respectively.Compared with control group(153.63±25.16)mL,(45.28±4.72)min,(14.72±3.05)d,(4.81±1.29)d,the difference was statistically significant(t=14.195,11.105,7.664,5.525,P<0.001);the incidence of postoperative complications in the observation group was 30.00%,which was higher than that in the control group(3.33%),and the difference was statistically significant(χ^(2)=7.680,P=0.005);the incidence of postpartum admission to ICU in the observation group was 20.00%,higher than 0.00%in the control group,and the difference was statistically significant(χ^(2)=4.629,P=0.031).Conclusion Compared with non-scarred uterus cesarean section women,the delivery process of scarred uterus cesarean section women is more difficult,the incidence of postoperative complications is higher,and the risk of danger is greater.

关 键 词：瘢痕子宫 剖宫产 术中出血量 分娩过程 

分 类 号：R5[医药卫生—内科学]