择期剖宫产与急症剖宫产的临床对比分析

Analysis of Clinical Comparison of Selective Cesarean Section and Acute Cesarean Section

目的分析择期剖宫产与急症剖宫产的临床对比效果。方法方便选取该院78例剖宫产患者,收取时间在2015年1月—2016年2月,并将剖宫产患者按照手术时间分为两组,对照组(39例患者实施急症剖宫产),观察组(39例患者实施择期剖宫产),将两组患者进行剖宫产后的效果进行对比。结果观察组剖宫产患者各项指标发生率(腹壁切口感染有2例、新生儿窒息有1例、产褥期感染有2例、产后出血有1例)显著低于对照组的发生率(P<0.05),观察组剖宫产患者肛门排气时间(41.01±12.05)h、出血量(211.15±25.01)mL、手术时间(50.02±8.15)min优于对照组(P<0.05)。结论将择期剖宫产与急症剖宫产的临床对比进行分析后,急症剖宫产具有较大的危害性,对于实施该类手术患者,应完善紧急准备工作,避免患者发生严重并发症。

Objective To analyze the clinical effect comparison of selective cesarean section and acute cesarean section.Methods 78 cases of patients with cesarean section treated in our hospital from January 2015 to February 2016 were convenient selected and divided into two groups according to the operation time with 39 cases in each, the control group and the observation group were treated with acute cesarean section and selective cesarean section, and the effect was compared between the two groups. Results The incidence rates of various indexes in the observation group（ 2 cases with abdominal wall cut infection, 1 case with neonatal asphyxia, 2 cases with puerperal infection and 1 case with postpartum hemorrhage） were obviously lower than those in the control group（P〈0.05）, and the anus exhaust time, bleeding amount, operation time in the observation group were respectively（41.01 ±12.05）h,（211.15±25.01）mL and（50.02 ±8.15）min, which were better than those in the control group（P〈0.05）. Conclusion The clinical comparative analysis of selective cesarean section and acute cesarean section shows that the harm of acute cesarean section is severer, and we should improve the emergency preparation work and avoid the occurrence of serious complications for these patients.