瘢痕子宫产妇二次剖宫产与非瘢痕子宫剖宫产并发症发生情况比较  

A Comparative Study on the Complications of Second Cesarean Section in Women with Scarred Uterus and Cesarean Section with Non-scarred Uterus

作　　者：牛欣荣 郭咏珺 于丽 NIU Xin-rong;GUO Yong-jun;YU Li(Department of Obstetrics and Gynecology,Tianjin Hedong Tiantie Hospital,Tianjin 300161,China;Department of Obstetrics and Gynecology,Wuqing Hospital of Traditional Chinese Medicine,Tianjin 301700,China)

机构地区：[1]天津河东天铁医院妇产科,天津300161 [2]天津武清中医院妇产科,天津301700

出　　处：《医学信息》2022年第23期122-124,共3页Journal of Medical Information

摘　　要：目的比较瘢痕子宫产妇二次剖宫产与非瘢痕子宫剖宫产并发症发生情况。方法选取2018年6月-2021年6月我院收治的60例剖宫产分娩的孕妇作为研究对象,按照剖宫产次数不同分为观察组(n=30,瘢痕子宫产妇二次剖宫产)、对照组(n=30,非瘢痕子宫剖宫产)。比较两组临床指标、妊娠期及剖宫术后并发症发生率、新生儿指标。结果观察组手术时间、住院时间长于对照组,术中出血量、术后出血量多于对照组,差异有统计学意义(P<0.05);观察组妊娠期并发症总发生率为16.67%,高于对照组的3.33%,差异有统计学意义(P<0.05);观察组剖宫产术后并发症总发生率为33.33%,高于对照组的10.00%,差异有统计学意义(P<0.05);观察组新生儿体重、身高、头围和Apgar评分与对照组比较,差异无统计学意义(P>0.05)。结论瘢痕子宫产妇二次剖宫产会影响手术时间和产妇康复疗程,增加产中、产后出血量及妊娠期、产后并发症发生率,但对新生儿无明显影响。Objective To compare the incidence of complications of second cesarean section and non-scarred cesarean section in women with scar uterus.Methods From June 2018 to June 2021,60 pregnant women who underwent cesarean section in our hospital were selected as the research objects.According to the different times of cesarean section,they were divided into observation group(n=30,scar uterus second cesarean section)and control group(n=30,non-scar uterus cesarean section).The clinical indicators,incidence of complications during pregnancy and after cesarean section,and neonatal indicators were compared between the two groups.Results The operation time and hospitalization time of the observation group were longer than those of the control group,and the intraoperative blood loss and postoperative blood loss were more than those of the control group(P<0.05).The total incidence of pregnancy complications in the observation group was 16.67%,which was higher than 3.33%in the control group,the difference was statistically significant(P<0.05).The total incidence of complications after cesarean section in the observation group was 33.33%,which was higher than 10.00%in the control group,the difference was statistically significant(P<0.05).There was no significant difference in neonatal weight,height,head circumference and Apgar score between the observation group and the control group(P>0.05).Conclusion The second cesarean section of scar uterus will affect the operation time and maternal rehabilitation course,increase the amount of intraoperative and postoperative blood loss and the incidence of complications during pregnancy and postpartum,but has no significant effect on neonates.

关 键 词：瘢痕子宫 剖宫产 二次剖宫 并发症 

分 类 号：R714[医药卫生—妇产科学]