剖宫产与经阴道分娩对早期子宫复旧的影响

Effects of cesarean section and vaginal delivery on early uterine involution

目的分析比较剖宫产与经阴道分娩方式对产妇产后子宫复旧的影响。方法分别随机抽取天津市和平区南市街社区卫生服务中心2016年1-10月产后42 d门诊经阴道分娩和剖宫产分娩的两组产妇各100例,观察两组产妇产后子宫宫底下降情况、恶露排出情况,并对这两组产妇的结果进行比较分析。结果阴道产组产后恶露持续时间≤42 d产妇比例明显高于剖宫产组,>42 d产妇比例明显低于剖宫产组,差异有统计学意义(P<0.05);阴道产组产妇的术后子宫复旧情况明显优于剖宫产组,差异有统计学意义(P<0.05)。结论经阴道分娩相对于剖宫产而言更有利于子宫复旧,有助于降低产后子宫复旧不良的发生率,值得临床推广应用。

Objective To analyze and compare the effect of cesarean section and vaginal delivery on postpartum uterine involution.Methods From January to October 2016,100 cases of vaginal delivery and100 cases of cesarean section were randomly selected from Nanshi Street Community Health Service Center of Heping District in Tianjin.The postpartum decrease of uterine fundus and lochia excretion were observed,and the results of the two groups were compared and analyzed.Results The proportion of parturients with lochia duration≤42 days in vaginal delivery group was significantly higher than that in cesarean section group,and the proportion of parturients with lochia duration>42 days was significantly lower than that in cesarean section group,and the differences were statistically significant(P<0.05).The uterine involution of vaginal delivery group was significantly better than that of cesarean section group,and the difference was statistically significant(P<0.05).Conclusion Compared with cesarean section,vaginal delivery was more conducive to uterine involution and helped to reduce the incidence of postpartum uterine involution,which was worthy of clinical promotion and application.