瘢痕子宫妊娠二次剖宫产的风险及影响因素分析.pdfVIP

JOURNALOFCHINESEANDFOREIGNMEDICINEANDPHARMACYRESEARCH论著·临床医学

瘢痕子宫妊娠二次剖宫产的风险及影响因素分析

石王燕

558000贵州医科大学第三附属医院产科，贵州都匀

摘要目的：分析瘢痕子宫妊娠二次剖宫产的风险及影响因素。方法：将贵州医科大学第三附属医院产科2022年

1月—2024年10月收治的瘢痕子宫妊娠二次剖宫产产妇50例纳入观察组，另选取同期收治的非瘢痕子宫剖宫产产妇50例

作为对照组。对比两组产妇并发症及新生儿不良结局发生情况。根据产妇是否发生并发症将观察组分为发生组（n=14）

与未发生组（n=36），采用Logistic回归模型分析瘢痕子宫妊娠二次剖宫产产妇发生并发症的独立影响因素。结果：观察组

产妇并发症总发生率高于对照组（P=0.003）；观察组新生儿不良结局总发生率高于对照组（P=0.004）。发生组年龄32～38岁、

应用硫酸镁保胎、发生妊娠高血压、流产次数≥3次占比高于未发生组（P＜0.05）。多因素Logistic回归分析显示，年龄

32～38岁、应用硫酸镁保胎、合并妊娠高血压、流产次数≥3次为导致瘢痕子宫妊娠二次剖宫产产妇发生并发症的独立危

险因素（P＜0.05）。结论：瘢痕子宫妊娠二次剖宫产产妇妊娠风险及新生儿不良结局高于非瘢痕子宫剖宫产产妇，且年龄

较大、应用硫酸镁保胎、合并妊娠高血压、流产次数较多为此类产妇发生并发症的独立危险因素。

关键词瘢痕子宫妊娠；二次剖宫产；母婴结局；危险因素

中图分类号R719.8文献标识码A

AnalysisofRiskFactorsandInfluencingFactorsforSecondaryCesareanDeliveryinScarredUterinePregnancy

ShiWangyan

DepartmentofObstetrics,TheThirdAffiliatedHospitalofGuizhouMedicalUniversity,Duyun558000,GuizhouProvince,China

AbstractObjective:Toanalyzetherisksfactorsandinfluencingfactorsforsecondarycesareandeliveryinscarreduterine

pregnancy.Methods:Fiftypuerperaundergoingsecondarycesareandeliveryinscarreduterinepregnancyadmittedtothe

DepartmentofObstetricsattheThirdAffiliatedHospitalofGuizhouMedicalUniversityfromJanuary2022toOctober2024were

includedintheobservationgroup.Another50puerperaundergoingcesareandeliveryinnon-scarreduterusadmittedduringthe

sameperiodwereincludedinthecontrolgroup.Thematernalcomplicationsandadverseneonataloutcomesofthetwogroupswere

compared.Accordingtowhethercomplicationsoccurred,theobservationgroupwasdividedintotheoccurrencegroup(n=14)and

thenon-occurrencegroup(n=36).Theindependentinfluencingfactorsfortheoccurrenceofcomplicationsinpuerperaundergoing

thesecondarycesareandeliveryinscarreduterinepregnancywereanalyzedusingLogisticregressionmodel.Results:Thetotal

incidenceo