分娩期子宫破裂31例临床分析

Clinical Analysis of 31 Cases of Uterine Rupture During Labor

目的分析分娩期子宫破裂31例的临床原因。方法选取我院10600例待产妇作为研究对象,随机分为对照组和观察组,每组5300例,对照组密切关注产程,严格应用催产素。观察组密切观察产妇是否出现血尿、病理性缩复环等子宫破裂先兆。结果子宫破裂发生率为0.29%,其中对照组子宫破裂发生率为0.49%,观察组子宫破裂发生率为0.09%。观察组的子宫破裂发生率低于对照组,P<0.05,差异具有统计学意义。结论综合分析子宫破裂发生原因,采取综合性预见性处理有利于降低子宫破裂风险,促进患者预后,保证围产期安全。

Objective To analyze the clinical causes of 31 cases of uterine rupture during labor. Methods 10600 cases of pregnant women in our hospital were randomly divided into control group and observation group, 5300 cases in each group, the control group to pay close attention to the production process, strict application of oxytocin. The observation group closely observed maternal whether or not hematuria, pathologic retraction ring of threatened uterine rupture. Results The incidence of uterine rupture was 0.29% and the control group was 0.49%. The observation group was 0.09%. The observation group was significantly lower than that in control group（P〈0.05）. Conclusion The comprehensive analysis of the reasons of rupture of the uterus and taking comprehensive predictive treatment helps to reduce the risk of uterine rupture, promote the patient prognosis, ensure the perinatal safety, and be worth of clinical application.