阴道试产与剖宫产在瘢痕子宫再次妊娠患者中的效果比较研究

Comparative effectiveness research of vaginal trial production and cesarean section in uterine scar pregnancy again patients

目的比较阴道试产与剖宫产在瘢痕子宫再次妊娠(USPA)患者中的应用效果。方法选取盐城市盐都区中西医结合医院产科2016年1月—2017年10月收治的USPA患者130例,根据不同的分娩方式分为剖宫产组74例和阴道试产组56例。剖宫产组患者行剖宫产治疗,阴道试产组患者采用阴道分娩。比较两组住院时间、产时出血量、并发症发生情况及新生儿出生后1 min Apgar评分。结果阴道试产组患者住院时间短于剖宫产组,产时出血量少于剖宫产组(P<0.05)。阴道试产组患者围产期并发症发生率低于剖宫产组(P<0.05)。阴道试产组新生儿出生后1 min Apgar评分高于剖宫产组(P<0.05)。结论阴道试产分娩在USPA患者中的应用效果优于剖宫产,其可更有效缩短患者住院时间,减少出血量,保障母婴安全。

Objective To compare the clinical effect of vaginal trial production and cesarean section in uterine scar pregnancy again（USPA） patients.Methods A total of 130 cases of USPA patients were selected from January 2016 to October 2017 in Yancheng Yandu District Hospital of Integrated Traditional Chinese and Western Medicine,which were divided into caesarean section group（n=74） and vaginal trial group（n=56） according to the delivery mode.The caesarean section group was given caesarean section,vaginal trial group was given vaginal trial production.The length of stay,amount of bleeding during labor,complications and neonatal Apgar scores were compared between the two groups.Results The vaginal trial group of length of stay was shorter than caesarean section group,amount of bleeding during labor was less than caesarean section group（P0.05）.The incidence rate of perinatal complications in vaginal trial group was lower than caesarean section group（P0.05）.The vaginal trial group of neonatal Apgar scores were higher than caesarean section group（P0.05）.Conclusion Vaginal trial production has a better effect in USPA patients than cesarean section,it can more effectively shorten length of stay of patients,reduce the amount of bleeding,which can ensure the security of maternal and infant.