Open Access Article
Contemporary Nursing. 2020; 1: (4) ; 503-505 ; DOI: 10.12208/j.cn.20200164.
Clinical analysis of vaginal delivery of scarred uterus after cesarean section
剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床分析研究
作者：
王舒曦涵 *
云南省第一人民医院昆明理工大学附属医院产科 云南昆明
*通讯作者：
王舒曦涵,单位：云南省第一人民医院昆明理工大学附属医院产科 云南昆明；
发布时间: 2020-11-20 总浏览量: 658
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摘要
目的 分析剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床效果。方法 本次对照实验中，为探究再次妊娠阴道分娩在剖宫产术后瘢痕子宫中的治疗情况来看，于妇产科中选取70例瘢痕子宫产妇作为实验研究对象，并将其随机分配为使用不同分娩方式的对照组和观察组，每组35例患者，其中对照组产妇依然使用剖宫产手术，观察组则采用阴道分娩，对比两种不同分娩方式下产妇的临床指标及新生儿情况。结果 通过实验对比分析来看，使用阴道分娩的观察组，住院时间（2.2±1.8）d，产后出血（158.6±11.5）mL，新生儿体质量（3893.5±56.7）g，2例新生儿出现窒息情况，Apgar评分（9.1±1.1）分；对照组以上指标分别为（3.6±1.9）d、（168.4±11.7）mL、（3414.8±57.48）g、2例新生儿窒息、（9.5±1.4）分，对比来看，观察组数据明显更优于对照组，数据间存在有显著统计学意义，（P＜0.05）。结论 剖宫产术后瘢痕子宫产妇使用阴道分娩，对降低风险性有一定的积极意义。
关键词： 剖宫产；瘢痕子宫；再次妊娠；阴道分娩；临床疗效
Abstract
Objective: To analyze the clinical effect of vaginal delivery of scarred uterus after cesarean section. Method: In this controlled experiment, in order to explore the treatment of re-pregnancy vaginal delivery in scarred uterus after cesarean section, 70 cases of scarred uterus were selected from the department of obstetrics and gynecology as the experimental research objects, and they were randomly assigned For the control group and the observation group with different delivery methods, each group has 35 patients. The control group still uses cesarean section and the observation group uses vaginal delivery. Compare the clinical indicators and newborns of the two different delivery methods. Happening. Results: Through the comparative analysis of experiments, the observation group using vaginal delivery had hospitalization time (2.2±1.8) days, postpartum hemorrhage (158.6±11.5) mL, newborn weight (3893.5±56.7) g, and 2 newborns appeared Asphyxia, Apgar score (9.1±1.1) points; the above indicators in the control group were (3.6±1.9) d, (168.4±11.7) mL, (3414.8±57.48) g, 2 cases of neonatal asphyxia, (9.5±1.4) In terms of comparison, the observation group data is significantly better than the control group, and there is significant statistical significance between the data (P<0.05). Conclusion : The use of vaginal delivery for women with scarred uterus after cesarean section has a certain positive significance in reducing risk.
Key words： Cesarean Section; Scarred Uterus; Second Pregnancy; Vaginal Delivery; Clinical Efficacy
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引用本文
王舒曦涵, 剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床分析研究[J]. 当代护理, 2020; 1: (4) : 503-505.