分娩期影响子宫破裂的高危因素及防治措施分析  

Analysis of High-Risk Factors and Preventive Measures of Uterine Rupture During Labour

作　　者：朱亚农 张广霞 ZHU Yanong;ZHANG Guangxia(Department of Obstetrics and Gynecology,Dongchangfu District Maternal and Child Health Hospital,Liaocheng 252000,China)

机构地区：[1]山东省聊城市东昌府区妇幼保健院妇产科,山东聊城252000

出　　处：《中国伤残医学》2025年第1期88-92,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：山东省医药卫生科技发展计划项目(2017WS667)。

摘　　要：目的:探究分娩期子宫破裂的高危因素及防治措施。方法:回顾性分析2018年10月—2024年10月于聊城市东昌府区妇幼保健院分娩的364例产妇资料,根据产妇分娩期是否发生子宫破裂将其分为发生组(n=74)和未发生组(n=290)。收集患者的临床资料,对产妇分娩期发生子宫破裂的危险因素进行分析,并依据高危因素提出防治措施。结果:本院同期的共101101例产妇分娩,共发生子宫破裂74例,发生率为0.07%,其中不完全子宫破裂54例,全子宫破裂20例。单因素分析显示,发生组孕次、产次、既往人工流产次数、剖宫产次数、既往刮宫比例均高于未发生组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,既往人工流产次数、既往刮宫、既往剖宫产次数为影响分娩期子宫破裂的独立危险因素(P<0.05)。结论:既往人工流产次数、既往刮宫、既往剖宫产次数是影响产妇分娩期子宫破裂的独立危险因素。临床中应当对上述高危因素进行重点关注,针对存在高危因素的产妇采取积极的防治措施,降低分娩期子宫破裂发生率,保障母婴安全。Objective:To explore the high-risk factors and preventive measures of uterine rupture during labour.Methods:Data of 364 patients who delivered in Dongchangfu District Maternal and Child Health Hospital from October 2018 to October 2024 were retrospectively analyzed,and were divided into an occurrence group(n=74)and a non-occurrence group(n=290)according to whether uterine rupture occurred during labour.The clinical data of patients were collected,the risk factors for uterine rupture during labour in patients were analyzed,and the preventive measures based on high-risk factors were proposed.Results:During the same period,there were 101101 cases of parturients in our hospital,and a total of 74 cases had uterine rupture,with an incidence rate of 0.07%,among them,54 cases were incomplete uterine rupture and 20 cases were complete uterine rupture.The results of univariate analysis showed that the gravidity,parity,number of previous induced abortion,number of cesarean section,and previous curettage ratio of the occurrence group were higher than those of the non-occurrence group,with statistical significance(P<0.05).The results of multiple Logistic regression analysis showed that the number of previous induced abortions,previous curettage,and number of previous cesarean section were independent risk factors for uterine rupture during labour(P<0.05).Conclusion:The number of previous induced abortions,previous curettage,and previous cesarean section were independent risk factors for uterine rupture during labour In clinical practice,these high-risk factors should be given special attention,and active prevention and treatment measures should be taken for pregnant women with these high-risk factors to reduce the incidence of uterine rupture during delivery and ensure the safety of both the mother and the baby.

关 键 词：子宫破裂 分娩期 高危因素 防治措施 LOGISTIC回归分析 

分 类 号：R714[医药卫生—妇产科学]