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目的:了解三种剖宫产术式对母婴术中及术后影响。方法:将95例需行剖宫产术病人随机分为三组:腹膜外组(a组)、下段剖宫产组(b组)和改良组(c组)。观察各组切皮亚胎儿娩出时间、总手术时间、术中止痛剂使用率、术后住院日、新生儿评分及体重。结果:切皮至胎儿娩出时间c组=b组<a组,总手术时间c组=b组<a组,术中出血量a组=b组=c组,术后排气时间a组<c组<b组,术后病率a组<b组=c组,术后止痛剂使用率a组<c组<b组,术后住院日a组=c组<b组,新生儿评分及体重三组无差异。结论:综合评价,腹膜外剖宫产术优于改良式剖宫产和子宫下段剖宫产术。
Objective: To understand the effects of three cesarean sections on maternal and infant surgery and postoperative. Methods: 95 patients undergoing cesarean section were randomly divided into three groups: extraperitoneal group (group a), lower cesarean section group (group b) and modified group (group c). The time of delivery, the total operation time, the usage of intraoperative analgesics, postoperative hospital days, neonatal score and body weight were observed in each group. Results: Cephaled to fetus delivery time c group = b group
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