瘢痕子宫不同分娩效果对比及安全性研究

Comparative study of the Effect of Different Delivery of Scarred Uterus and Its Safety

目的探讨瘢痕子宫不同分娩效果对比观察及安全性研究。方法根据2018年12月—2019年6月该院治疗的瘢痕子宫妊娠分娩产妇72例作为研究对象,随机数表分为对照组(n=36)和观察组(n=36)。对照组给予剖宫产分娩,观察组给予阴道自然分娩,分娩后对产妇效果进行评估,比较两组临床指标、新生儿出生情况以及并发症发生比较。结果观察组出血量(60.32±9.45)mL、术后β-HCG值恢复正常时间(25.15±2.53)d、住院时间(3.16±2.08)d均短于对照组出血量(124.32±10.43)mL、术后β-HCG值恢复正常时间(31.51±2.24)d、住院时间(7.27±1.34)d,差异有统计学意义(P<0.05);观察组患者产后尿潴留、瘢痕破裂、腹腔粘连、产褥感染的并发症发生率为11.11%,对照组并发症发生率为33.33%,观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=5.143,P<0.05);观察组新生儿窒息、颅内出血、新生儿黄疸、感染总发生率低于对照组,差异有统计学意义(P=0.005)。结论不同分娩过程对于瘢痕子宫产妇的临床效果不同,具备阴道分娩条件的产妇可尝试阴道分娩,阴道分娩可减少住院时间和出血量,提高新生儿免疫力,降低产妇并发症的发生,值得推广应用。

Objective To explore the comparative observation and safety study of different labors of scarred uterus.Methods According to 72 cases of pregrantwoen with scarred uterus treated in the hospital from December 2018 to June 2019 is the csearch jects,the random number table was divided into a control group(n=36)and an observation group(n=36).The control group was given cesarean delivery,and the observation group was given vaginal delivery.After delivery,the atemal effect was evaluated,and the clinical indicators,neonatal birth conditions,and complications of the two groups were compared.Results The blood loss in observation group(60.32±9.45)mL,postoperativeβ-HCG value recovery time(25.15±2.53)d,hospital stay time(3.16±2.08)d were shorter than that in control group(124.32±10.43)mL,postoperativeβ-HCG value returned to normal time(31.51±2.24)d,hospital stay(7.27±1.34)d,the difference was statistically significant(P<0.05);the complication rate of urinary retention,scar rupture,abdominal adhesion and puerperal infection was 11.11%in the observation group,and 33.33%in the control group,which was lower than that in the control group,the difference was statistically significant(χ^(2)=5.143,P<0.05).The incidence of neonatal asphyxia,intracranial hemorrhage,neonatal jaundice and infection in the observation group was lower than that in the control group,the difference was statistically significant(P=0.005).Conclusion Different delivery processes have different clinical effects on parturient with scarred uterus.parturient with vaginal delivery conditions can try vaginal delivery.Vaginal delivery can reduce hospitalization time and bleeding,improve neonatal immunity,and reduce the incidence of maternal complications.It is worth promotion and application.