第三次剖宫产母婴结局分析(1)
【摘要】 目的：观察第三次剖宫产手术对产妇及新生儿的影响。方法：选取在笔者所在医院行第三次剖宫产手术的31例产妇作为观察组，将同期行第二次剖宫产手术的98例产妇作为对照组，观察比较两组产妇的手术时间、胎儿取出时间、出血量、早产情况、盆腔粘连情况、子宫下段厚度、新生儿窒息、子宫切除率、膀胱损伤、产后出血及晚期产后出血等指标的差异。结果：观察组的手术时间、胎儿取出时间均明显长于对照组，子宫下段厚度明显薄于对照组，术中出血量明显多于对照组，盆腔粘连、产后出血、晚期产后出血发生率、子宫切除率、膀胱损伤发生率、早产和新生儿窒息发生率均明显高于对照组，差异均有统计学意义(P<0.05)。结论：第三次剖宫产术手术时间长、术中出血多，且多次剖宫产严重影响母亲及婴儿预后，医生在临床上应严格掌握剖宫产适应证以减少剖宫产次数。
【关键词】 第三次剖宫产； 母婴结局； 临床分析
中图分类号 R714 文献标识码 A 文章编号 1674-6805(2014)35-0009-02
, 百拇医药
【Abstract】 Objective：To observe the influence of maternal and neonatal outcomes in the third cesarean delivery.Method：31 maternal who underwent the third cesarean section in our hospital were selected as the observation group，98 maternal who underwent the second cesarean section during the same period were selected as the control group.The operation time，the fetus out of time，amount of bleeding，premature birth，the pelvic adhesions，uterine segment thickness，neonatal asphyxia，uterine resection rate，bladder injury，postpartum hemorrhage and late postpartum hemorrhage between the two groups were observed and compared.Result：The operation time and the fetus out of time of observation group were significantly longer than those of control group，the uterine segment thickness of observation group was significantly thinner than control group，the amount of bleeding in observation group was significantly more than control group，the incidence of pelvic adhesions，postpartum hemorrhage and late postpartum hemorrhage，uterine resection rate，neonatal asphyxia，bladder injury，premature birth and neonatal asphyxia in observation group were significantly higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：The operation time of third cesarean section is long，the amount of bleeding in operation，and repeated cesarean section seriously affect the prognosis of mother and infant，the doctor should strictly control the indications for cesarean section in clinic to reduce the number of cesarean section.
, 百拇医药
【Key words】 The third cesarean delivery； Maternal and neonatal outcomes； Clinical analysis
随着我国医疗技术的发展，剖宫产术的安全性得到了可靠的保证，再加上人们思想观念的转变和计划生育政策的实施，选择剖宫产手术的产妇逐年增加，剖宫产术后再次妊娠率随之增加，使得三次剖宫产率也随之增加[1-2]。虽然剖宫产术能解决难产等问题，但是毕竟它是一种创伤性手术，对母亲及新生儿的健康有一定的影响，尤其是多次剖宫产会造成手术难度、术中术后出血机会增多，会对产妇及新生儿健康产生严重影响，使得新生儿窒息发生率增加[3]。本文中选取2011年3月-2014年3月在笔者所在医院行第三次剖宫产的31例产妇的临床资料与同期行第二次剖宫产术的98例患者进行对比分析，现报告如下。
1 资料与方法
1.1 一般资料
选取2011年3月-2014年3月在笔者所在医院行第三次剖宫产手术的31例产妇作为观察组，年龄29～45岁，平均(32.8±3.2)岁，孕34～41周，平均(37.1±2.9)周。另选取同期行第二次剖宫产术的98例产妇作为对照组，年龄27～42岁，平均(32.4±3.0)岁，孕35～40周，平均(38.2±3.5)周。所有产妇入院后均未试产，在椎管内麻醉下行剖宫产手术，两组产妇的年龄、孕周等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(贾海珍)
【关键词】 第三次剖宫产； 母婴结局； 临床分析
中图分类号 R714 文献标识码 A 文章编号 1674-6805(2014)35-0009-02
, 百拇医药
【Abstract】 Objective：To observe the influence of maternal and neonatal outcomes in the third cesarean delivery.Method：31 maternal who underwent the third cesarean section in our hospital were selected as the observation group，98 maternal who underwent the second cesarean section during the same period were selected as the control group.The operation time，the fetus out of time，amount of bleeding，premature birth，the pelvic adhesions，uterine segment thickness，neonatal asphyxia，uterine resection rate，bladder injury，postpartum hemorrhage and late postpartum hemorrhage between the two groups were observed and compared.Result：The operation time and the fetus out of time of observation group were significantly longer than those of control group，the uterine segment thickness of observation group was significantly thinner than control group，the amount of bleeding in observation group was significantly more than control group，the incidence of pelvic adhesions，postpartum hemorrhage and late postpartum hemorrhage，uterine resection rate，neonatal asphyxia，bladder injury，premature birth and neonatal asphyxia in observation group were significantly higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：The operation time of third cesarean section is long，the amount of bleeding in operation，and repeated cesarean section seriously affect the prognosis of mother and infant，the doctor should strictly control the indications for cesarean section in clinic to reduce the number of cesarean section.
, 百拇医药
【Key words】 The third cesarean delivery； Maternal and neonatal outcomes； Clinical analysis
随着我国医疗技术的发展，剖宫产术的安全性得到了可靠的保证，再加上人们思想观念的转变和计划生育政策的实施，选择剖宫产手术的产妇逐年增加，剖宫产术后再次妊娠率随之增加，使得三次剖宫产率也随之增加[1-2]。虽然剖宫产术能解决难产等问题，但是毕竟它是一种创伤性手术，对母亲及新生儿的健康有一定的影响，尤其是多次剖宫产会造成手术难度、术中术后出血机会增多，会对产妇及新生儿健康产生严重影响，使得新生儿窒息发生率增加[3]。本文中选取2011年3月-2014年3月在笔者所在医院行第三次剖宫产的31例产妇的临床资料与同期行第二次剖宫产术的98例患者进行对比分析，现报告如下。
1 资料与方法
1.1 一般资料
选取2011年3月-2014年3月在笔者所在医院行第三次剖宫产手术的31例产妇作为观察组，年龄29～45岁，平均(32.8±3.2)岁，孕34～41周，平均(37.1±2.9)周。另选取同期行第二次剖宫产术的98例产妇作为对照组，年龄27～42岁，平均(32.4±3.0)岁，孕35～40周，平均(38.2±3.5)周。所有产妇入院后均未试产，在椎管内麻醉下行剖宫产手术，两组产妇的年龄、孕周等一般资料比较差异均无统计学意义(P>0.05)，具有可比性。, 百拇医药(贾海珍)
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