不同产程剖宫产术对母婴结局的影响

Effect of different labor cesarean section on maternal and neonatal outcomes

目的探讨不同产程剖宫产术对母婴结局的影响。方法选择本院2009年6月至2011年6月收治的第一产程剖宫产80例产妇病例资料（实验组）进行回顾性分析，另选择同期85例第二产程剖宫产的产妇作为对照组。随访3-6个月，比较两组产妇的术中情况、并发症发生率和新生儿临床结局。结果两组比较，治疗后实验组产妇的术中情况、术后并发症发生率和新生儿临床结局均优于对照组，差异有统计学意义（P〈0．05）。结论第一产程剖宫产术可明显降低术中风险，减少产妇术后并发症发生率，增强新生儿生命质量。

Objective To study the effect of different labor cesarean section on maternal ann neonatal out- comes. Methods The clinical data of 80 patients of cesarean section in the first stage of labour in our hospital from June 2009 to June 2011 （the study group） were retrospectively analyzed, as well as that of 85 patients of cesarean section in the second stage of labour （the control group）. All the patients were followed up for 3---6 months. The intra- operative status of patients, incidence of postoperative complications, and neonatal clinical outcomes were compared between the two groups. Results The intraoperative status, incidence of postoperative complications, and neonatal clinical outcomes after treatment were all significantly better in the study group than the control group （P〈0.05）. Conclusion Cesarean section in the first stage of labor can significantly reduce the risk of surgery, lower the inci- dence of maternal complications, and enhance the life quality of newborns.