瘢痕子宫孕妇阴道分娩应用缩宫素的效果观察  

EFFECT OF OXYTOCIN ON VAGINAL DELIVERY IN PREGNANT WOMEN WITH SCAR UTERUS

作　　者：于树静[1] 冯小明[1] 李莉 彭希 李楠楠 夏莹莹 YU Shujing;FENG Xiaoming;LI Li;PENG Xi;LI Nannan;XIA Yingying(Tangshan Maternal and Child Health Hospital,Tangshan 063000,China)

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国煤炭工业医学杂志》2022年第3期312-315,共4页Chinese Journal of Coal Industry Medicine

基　　金：河北省卫生健康委员会科研课题(编号:202014)。

摘　　要：目的 探讨缩宫素用于瘢痕子宫孕妇阴道分娩的效果观察。方法 选取2021年1—12月在唐山市妇幼保健院符合阴道试产条件的瘢痕子宫孕妇,应用分娩镇痛后静点缩宫素的132例作为观察组。通过回顾性研究收集2016年1—12月在唐山市妇幼保健院产房阴道分娩的瘢痕子宫孕妇,应用分娩镇痛后,未静点缩宫素的瘢痕子宫孕妇155例作为对照组,观察二组的分娩方式、产程所用时间、产后出血、阴道侧切、子宫破裂、新生儿1分钟Apgar评分。结果 观察组在应用缩宫素后,分娩方式、第一产程、第二产程的时间、阴道侧切、产后出血等方面明显优于对照组,差异有统计学意义(P<0.05);新生儿1分钟Apger评分、子宫破裂发生率二组差异无统计学意义(P>0.05)。结论 瘢痕子宫孕妇阴道应用缩宫素,能够缩短产程,减少产后出血,降低剖宫产率,不影响母儿安全,具有较高的临床应用价值。Objective To investigate the effect of oxytocin on vaginal delivery of pregnant women with scar uterus after labor analgesia.Methods One hundred and thirty-two pregnant women with scar uterus who met the conditions of vaginal trial delivery in Tangshan maternal and child health hospital from January to December 2021 were selected as the observation group.Through a retrospective study,155 pregnant women with scarred uterus who delivered vaginally in the delivery room of Tangshan maternal and child health hospital from January to December 2016 were collected.After labor analgesia,155 pregnant women with scarred uterus without static oxytocin were used as the control group.The delivery mode,time of labor,postpartum hemorrhage,vaginal lateral resection and 1-minute Apgar score of newborns with uterine rupture were observed inthe two groups.Results After the application of oxytocin,the mode of delivery,the time of the first stage of labor and the second stage of labor,vaginal lateral incision and postpartum hemorrhage in the observation group were significantly better than those in the control group(P0.05).Conclusion The application of oxytocin after vaginal delivery analgesia in pregnant women with scar uterus can shorten the labor process,reduce postpartum hemorrhage,reduce the rate of cesarean section,do not affect the safety of mother and child,and has high clinical application value.

关 键 词：瘢痕子宫 阴道分娩 缩宫素 分娩结局 

分 类 号：R713.8[医药卫生—妇产科学]