瘢痕子宫和非瘢痕子宫患者剖宫产术后对比分析.docVIP

瘢痕子宫和非瘢痕子宫患者剖宫产术后对比分析 　　[摘要] 目的 探究瘢痕子宫与非瘢痕子宫产妇剖宫产术后的安全性。 方法 随机抽取100例2014年5月―2015年12月来该院接受剖宫产的产妇作为该次实验的目标对象，其中瘢痕子宫组（36例），非瘢痕子宫组（64例），研究对比两组产妇的手术时间、术中出血量、住院时间、并发症发生率及新生儿Apgar评分。结果 瘢痕子宫组产妇的手术时间、住院时间为（69.88±10.61）min、（6.85±2.11）d，显著长于非瘢痕子宫组产妇，且术中出血量显著多于非瘢痕子宫组产妇，差异有统计学意义（P0.05）。结论 与非瘢痕子宫产妇相比，瘢痕子宫产妇再次接受剖宫产的手术时间以及住院时间更长，术中出血量更多，风险性更高。 　　[关键词] 瘢痕子宫；非瘢痕子宫；剖宫产 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）02（b）-0052-03 　　[Abstract] Objective To study the safety of patients with scar uterus and patients with non-scar uterus after the cesarean delivery. Methods 100 cases of delivery women with cesarean delivery from May 2014 to December 2015 were random extracted as the research objects， including 36 cases of patients with scar uterus and 64 cases of patients with non-scar uterus， and the operative time， intraoperative bleeding amount， length of stay， incidence rate of complications and newborn Apgar score of the two groups were researched and compared. Results The operative time and length of stay in the scar uterus group were respectively（69.88±10.61）min and（6.85±2.11）d， which were obviously longer than those in the delivery women with non-scar uterus， and the intraoperative bleeding amount was obviously more than that of delivery women with non-scar uterus， and the difference had statistical significance（P0.05）. Conclusion The operation time and length of stay of second acceptance of cesarean delivery are longer of delivery women with scar uterus than those of delivery women with non-scar uterus， and the intraoperative bleeding amount is more and the risk is higher. 　　[Key words] Scar uterus； Non-scar uterus； Cesarean delivery 　　?S着医学和科技的不断发展和进步，剖宫产技术亦获得了较快的发展，且加上麻醉技术以及输血技术的进步，越来越多的产妇更愿意选择剖宫产，但产妇在接受剖宫产术后，易使子宫切口形成瘢痕[1]，有研究显示[2]，若瘢痕子宫产妇再次接受剖宫产术，易增加瘢痕子宫产妇发生子宫破裂、发热等并发症的机率，一定程度上威胁了产妇的生命安全。该院为了探究瘢痕子宫与非瘢痕子宫产妇剖宫产术后的安全性，对2014年5月―2015年12月瘢痕子宫组36例产妇以及非瘢痕子宫组64例产妇的临床资料进行回顾性分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　随机抽取100例来该院接受剖宫产的产妇作为此次实验的目标对象，其中将二次接受剖宫产的产妇作为瘢痕子宫组（36例），初次妊娠接受剖宫产的产妇作为非瘢痕