重复性剖宫产术中新式剖宫产与改良新试剖宫产对产妇的影响观察

Observation on influences of repetitive new-style cesarean section and improved repetitive new-style cesarean section on the parturient

目的：观察重复性剖宫产术中新式剖宫产与改良新式剖宫产对产妇的影响，以探索更好的剖宫产术。方法：采用随机抽取的方法。选择我院在2013年12月到2014年12月期间收治的重复性剖宫产术产妇97例，按照剖宫产方法的不同，将患者分为两组，对照组（48例）和观察组（49例），对照组采用传统新式剖宫产术，观察组患者则采用改良新式剖宫产术，观察两组患者的术后情况以及对两种手术对产妇的影响。结果：观察组产妇腹腔粘连的人数明显少于对照组，差异显著（P〈0．05），有统计学意义；且观察组产妇腹腔粘连程度明显轻于对照组，差异显著（P〈0．05），有统计学意义；观察组产妇术中出血量、切口愈合均明显优于对照组，差异显著（P〈0．05），有统计学意义；观察组并发症发生率明显低于对照组，差异显著，有统计学意义（P〈0．05）。结论：重复性剖宫产术中，与新式剖宫产相比，改良新式剖宫产患者术后腹腔粘连程度轻，术中出血量少，愈合效果更好，有效地降低了产妇重复性剖宫产手术的风险，值得临床推广与应用。

Objective： To observe the influences of repeatable new-style cesarean section and improved repeatable new-style cesarean section on the parturient to explore better cesarean section method. Methods： 97 cases of repetitive cesarean section by our hospital during December 2013＇to December 2014 were randomly selected and divided into two groups according to the caesarean section method adopted. The control group （48 cases） adopted traditional new-style cesarean section and the observation group （49 cases） adopted improved new-style cesarean section. Patients of the two groups after surgery were observed. Results： The abdominal adhesion rate of the observation group was significantdy lower than that of the control group and the difference was statistically significant （P〈0.05）. The abdominal adhesion severity of the observation group was significantly lighter than that of the control group and difference was statistically significant （P〈0.05）. Blood loss and incision healing of the observation group was significantly better than that of the control group and difference was statistically significant （P〈0.05）. Complication rate was significantly lower than that of the control gxoup and the difference was statistically significant （P〈0.05）. Conclusion： As a repetitive cesarean section method, the improved new-style cesarean section has shown advantages compared with the traditional new-style cesarean section including less abdominal adhesion, less blood loss, and better healing of the incision. The improved new-style cesarean section can effectively reduce risk of the cesarean section surgery and it is worthy of promotion and application.