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目的分析瘢痕子宫再妊娠孕产妇实施阴道分娩的效果。方法 80例瘢痕子宫再妊娠孕产妇,根据分娩方式不同分为研究组和对照组,每组40例。研究组孕产妇实施阴道分娩,对照组孕产妇实施剖宫产手术,比较两组分娩情况。结果两组孕产妇均安全分娩,研究组产时出血量为(89.5±16.3)ml,显著少于对照组的(197.6±22.5)ml,差异具有统计学意义(P<0.05)。研究组住院时间为(3.4±1.2)d,显著短于对照组的(5.3±1.4)d(P<0.05);且研究组新生儿Apgar评分为(9.4±0.3)分,对照组为(7.8±1.2)分,差异均有统计学意义(P<0.05)。研究组并发症发生率为5.00%,明显低于对照组的22.50%(P<0.05)。结论在明确适应证的前提下,瘢痕子宫再妊娠孕产妇实施阴道分娩,能够有效减少出血量,降低发症发生率。
Objective To analyze the effect of vaginal delivery in pregnant women with uterine scar pregnancy. Methods Eighty pregnant women with uterine scar pregnancy were divided into study group and control group according to different modes of delivery, with 40 cases in each group. Study group, vaginal delivery of pregnant women, pregnant women in the control group to implement cesarean section, delivery of the two groups were compared. Results Both groups of pregnant women gave birth safely. The amount of bleeding in the study group was (89.5 ± 16.3) ml, significantly lower than that of the control group (197.6 ± 22.5) ml, the difference was statistically significant (P <0.05). The length of stay in the study group was (3.4 ± 1.2) d, which was significantly shorter than that in the control group (5.3 ± 1.4) d (P <0.05). The neonatal Apgar score was (9.4 ± 0.3) in the study group and (7.8 ± 1.2) points, the differences were statistically significant (P <0.05). The complication rate of the study group was 5.00%, which was significantly lower than that of the control group (22.50%, P <0.05). Conclusion Under the condition of clear indications, vaginal delivery of pregnant women with uterine scar pregnancy can effectively reduce the amount of bleeding and reduce the incidence of complications.