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目的分析和研究妊娠期高血压疾病产妇行剖宫产的可行性。方法纳入对象为我院妇产科2004年1月—2006年12月妊高症患者200例,根据其分娩方式进行分组,其中100例行剖宫产,作为剖宫产组;100例行阴道分娩,作为阴道分娩组。对比两组分娩成功率、产后血压不稳率、大出血发生率、输血治疗率、新生儿健康率。结果剖宫产组产妇分娩成功率100.00%明显高于阴道分娩组92.00%,组间有显著的统计学差异(P<0.05)。剖宫产组产妇产后血压不稳率、大出血发生率、输血治疗率明显低于阴道分娩组,组间有显著的统计学差异(P<0.05)。剖宫产组新生儿健康率98.00%明显高于阴道分娩组88.00%,组间有显著的统计学差异(P<0.05)。结论妊娠期高血压疾病产妇行剖宫产的可行性高,跟阴道分娩对比,手术安全性更高,可提高分娩成功率,且产后血压稳定,可减少大出血发生率和输血治疗率,对改善新生儿健康状况有良好作用。
Objective To analyze and study the feasibility of cesarean section in pregnant women with hypertensive disorder complicating pregnancy. Methods The obstetrics and gynecology patients in our hospital from January 2004 -2006 in December 200 cases of pregnancy induced hypertension, according to their mode of delivery were divided into groups, of which 100 cases of cesarean section, as cesarean section group; 100 cases of vaginal Childbirth, as a vaginal delivery group. The success rates of delivery, postpartum blood pressure instability, incidence of major bleeding, transfusion rate and neonatal health rate were compared. Results The success rate of maternal delivery in cesarean section group was 100.00%, which was significantly higher than that in vaginal delivery group (92.00%). There was a significant difference between the two groups (P <0.05). Postpartum blood pressure instability, the incidence of major bleeding, and the transfusion rate in the cesarean section were significantly lower than those in the vaginal delivery group, with significant statistical differences (P <0.05). The neonatal health rate in cesarean section group was significantly higher than that in vaginal delivery group (98.00% vs 88.00%, P <0.05). Conclusion Maternal hypertensive disorders during pregnancy cesarean section of high feasibility, compared with vaginal delivery, surgical safety is higher, can improve the success rate of delivery, and postpartum blood pressure stability, can reduce the incidence of major bleeding and transfusion treatment rate, improve the Neonatal health has a good effect.