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目的:对剖宫产后再次妊娠产科临床处理进行分析。方法:对2012年4月到2014年4月期间在我院接受治疗的40例剖宫产后再次妊娠患者进行临床研究,随机分为对照组和研究组,对对照组进行剖宫产术,对研究组进行阴道试产,观察比较两组患者的效果。结果:对照组行剖宫产术的20例患者中有10例的瘢痕子宫表现出剖宫产的指征,研究组行阴道试产的20例患者中有14例成功完成阴道分娩,先兆子宫的破裂、产钳助产、羊水污染各2例,所有患者均没有出现孕产妇和围产儿的死亡现象。研究组患者的术中出血量和住院时间均明显低于对照组患者(P<0.05)。结论:对适宜的剖宫产后再次妊娠的产妇使用阴道试产可降低术中出血量和缩短住院时间,有利于产妇的恢复,可推荐使用。
Objective: To analyze the clinical obstetrics after cesarean section. Methods: From April 2012 to April 2014 in our hospital for treatment of 40 cases of cesarean section after pregnancy again clinical study of patients were randomly divided into control group and study group, the control group cesarean section, The study group vaginal trial production, observation and comparison of the effect of two groups of patients. Results: In the control group, 10 cases of cicatricial uterus showed cesarean indications in 20 cases of cesarean section. In the 20 cases of vaginal trial, 14 cases of vaginal delivery successfully completed vaginal delivery, Of the rupture, forceps midwifery, amniotic fluid contamination in 2 cases, all patients did not appear pregnant and perinatal deaths. The patients in the study group had significantly lower intraoperative blood loss and hospital stay than those in the control group (P <0.05). Conclusion: It is recommended to use vaginal trial to reduce the intraoperative blood loss and shorten the length of hospital stay, which is good for maternal recovery.