瘢痕子宫再次妊娠产妇进行阴道试产的效果研究

Study on the therapeutic effect of vaginal trail-delivery in patients with scar uterus

目的:研究瘢痕子宫再次妊娠产妇进行阴道试产的效果。方法:将2015年3月至2017年2月期间在江苏省响水县人民医院进行阴道试产的40例瘢痕子宫再次妊娠产妇作为研究组,将同期在该院进行阴道分娩的40例健康产妇作为对照组。对比两组产妇进行阴道试产的成功率、分娩的时间、产时出血量、住院的时间、新生儿的Apgar评分、新生儿的体重和产后并发症的发生情况。结果:1)研究组产妇进行阴道试产的成功率为85.0%,对照组产妇进行阴道试产的成功率为90.0%,组间差异无统计学意义(P>0.05)。研究组产妇产后并发症的发生率为7.5%,对照组产妇产后并发症的发生率为5.0%,组间差异无统计学意义(P>0.05)。2)研究组产妇分娩的时间、产时出血量、住院时间的平均值分别为(9.5±1.6)h、(280±42)ml、(3.8±0.5)d,对照组产妇分娩的时间、产时出血量、住院时间的平均值分别为(9.7±1.9)h、(265±36)ml、(3.6±0.4)d,组间差异无统计学意义(P>0.05)。3)研究组产妇新生儿的Apgar评分平均为(9.24±0.34)分,对照组产妇新生儿的Apgar评分平均为(9.17±0.28)分,组间差异无统计学意义(P>0.05)。研究组产妇新生儿的体重平均为(3036±52)分,对照组产妇新生儿的体重平均为(3275±56)分,差异有统计学意义(P<0.05)。结论:瘢痕子宫再次妊娠产妇进行阴道试产的效果较好。

Objective： To study the effect of vaginal delivery in patients with scar uterus.Methods：Set 40 cases of patients of uterine scar accepted vaginal traildelivery in People＇s Hospital of Xiangshui County Xiangshui during March 2015 to February 2017 for experimental group,set healthy puerpera vaginal trail-delivery in same period for control group.Compare successful rate of vaginal delivery,delivery time,bleeding volume,lenth of stay, Apgar score and weight of newborn and incidence of complications of puerpera.Results：1） Successful rate of vaginal delivery of experimental group is 85.0%, successful rate of vaginal delivery of control group is 90.0%,the difference of 2 groups has no statistical significant（P〈0.05）.The incidence of complications of experimental group is 7.5%, the incidence of complications of control group is 50.0%, the difference between 2 groups has no statistical significant（P〈0.05）. 2）The average value of delivery time of experimental group is（9.5±1.6）h,bleeding volume is（280±42）ml,length of stay is（3.8±0.5）d, the average value of delivery time of control group is（9.7±1.9）h,bleeding volume is（265±36）ml,length of stay is（3.6±0.4）d, the difference between 2 groups has no statistical significant（P〈0.05）.3）The average Apgar score of newborn of experimental group is（9.24±0.34）,the average Apgar score of newborn of control group is（9.17±0.28）, he difference between 2 groups has no statistical significant（P〈0.05）.The average weight of newborn of experimental group is（3036±52）g,the average weight of newborn of control group is（3275±56）g, the difference between 2 groups has statistical significant（P〈0.05）. Conclusion： Effect of vaginal trial-delivery in patients with scar uterus is good.