6439例产后42天复查结果分析

Analysis on the results of reexamination in 6439 cases at 42 days after delivery

目的:了解洛阳市产妇经过42天的产褥期后身体各系统的恢复情况,针对所检查出的问题给予原因分析及预防措施。方法:对产后满42天的产妇复查资料进行回顾性统计分析。结果:在分娩方式中剖宫产率达到57.00%。乳腺检查结果:乳汁不足占27.15%,乳房胀痛占8.20%,急性乳腺炎占3.34%。阴道分娩检出的子宫复旧不全、细菌性阴道病、宫颈糜烂、切口愈合不良、阴道壁脱垂与剖宫产相比差异有统计学意义(P<0.01)。结论:通过对6 439例产妇产后42天复查结果进行分析,对提高产妇产后疾病的预防、诊断、处理和康复指导具有重要意义。

Objective： To know the recovery of every system of the parturient women at 42 days after delivery in Luoyang city, ana lyze the reasons of the healthy problems checked out and put forward preventive measures according the results. Methods： The data of reex amination in the parturient women at 42 days after delivery were analyzed retrospectively. Results： The cesarean section rate was 57% in all delivery methods. Breast examination results： the proportions of agalactia, breast distending pain, and acute mammitis were 27.15%, 8.20% , and 3.34% , respectively ; there were statistically significant differences in the incidence rates of incomplete womb restoration, bac terial vaginosis, cervical erosion, poor wound healing, vaginal wall prolapse between the cases receiving vaginal delivery and the cases re ceiving cesarean section （P 〈 0. 01 ） . Conclusion： Analyzing the results of reexamination in 6 439 cases at 42 days after delivery has im portant value for improving the prevention, diagnosis, treatment, and rehabilitation guidance.