剖宫产和自然分娩子宫复旧情况对比分析.docVIP

剖宫产和自然分娩子宫复旧情况对比分析 　　【摘 要】目的：探讨剖宫产与自然分娩子宫复旧情况。方法：在医院2015年12月至2018年2月期间收治的产妇中选取96例作研究对象，并按分娩方式不同予以分组：剖宫产组（n=48）、自然分娩组（n=48），就2组产妇的子宫复旧情况进行统计学分析。结果：①自然分娩组产妇产后子宫复旧良好率是93.75%，与剖宫产组产妇子宫复旧良好率77.08%相比较高（P0.05）；②自然分娩组产妇的平均恶露持续时间是（34.89±4.68）d，短于剖宫产组产妇的平均恶露持续时间（41.59±4.86）d（P0.05）；③自然分娩组产妇产后6周内宫腔积液发生率是2.08%，与剖宫产组孕妇宫腔积液发生率14.59%相比较低（P0.05）；④自然分娩组平均宫底下降高度是（1.02±0.15）cm，短于剖宫产组平均宫底下降高度（1.65±0.34）cm（P0.05）。结论：孕妇自然分娩后子宫复旧相对较快，剖宫产后子宫复旧存在自身规律，应???格掌握孕妇剖宫产指征，降低剖宫产率。 　　【关键词】剖宫产；自然分娩；恶露持续时间；B超；子宫复旧 　　Abstract Objective： To investigate the involution of uterus in cesarean section and natural childbirth. Methods： 96 cases of parturients admitted in the hospital from December 2015 to February 2018 were selected as the subjects and were divided into groups according to the different modes of delivery： cesarean section （n=48） and natural childbirth group （n=48）， and the uterine involution of 2 groups of women was statistically analyzed. Results： （1） the good rate of puerperal uterine involution was 93.75% in natural childbirth group， compared with 77.08% （P 0.05） in cesarean section， and （34.89 + 4.68） d for parturients in Natural Childbirth Group （41.59 + 4.86） d （P The incidence of uterine cavity effusion was 2.08% in 6 weeks postpartum in natural childbirth group， which was lower than 14.59% in caesarean section （P 0.05）. （P 0.05）. （1.02 + 0.15） cm in Natural Childbirth Group （1.02 + 0.15）， which was shorter than that in cesarean section （1.65 + 0.34） cm （P 0.05）. ）. Conclusion： the uterine involution of pregnant women after natural childbirth is relatively fast， and the uterine involution of the uterus after cesarean section has its own law. It should be strictly mastered the indications of cesarean section and reduce the rate of cesarean section. 　　Key words：cesarean section； natural childbirth； lochia duration； B ultrasound； uterine involution 　　【中?D分类号】R714.3 【文献标识码】A 【文章编号】1672-3783（2018）06-03--01 　　近几年来，剖宫产作为一种解决难产、孕期出现并发症等问题的重要手段，其应用频率日益升高，但因需要麻醉、切开子宫，对孕妇以及胎儿均有不良影响，并延缓其