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目的探讨不同产程阶段的剖宫产术与母婴并发症发生的相关性。方法选取2011年6月-2015年6月在该院行剖宫产术的产妇120例为研究对象,并根据其不同产程分为:第一产程剖宫产产妇60例为观察组,第二产程剖宫产产妇60例为对照组。监测比较两组产妇的产后总出血量、手术时间以及术中术后各种并发症发生情况,其新生儿5 min内Apgar综合评分以及各种并发症发生情况,并进行统计分析。结果观察组产妇的产后总出血量、手术时间以及术中术后各种并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组新生儿5 min内Apgar综合评分以及各种并发症发生率明显优于对照组,差异有统计学意义(P<0.05)。结论第一产程行剖宫产相对于第二产程行剖宫产,更有利于母婴健康,减少产妇以及新生儿并发症发生,因此,在临床上剖宫产术应选择合适的产程阶段,尽量指导产妇在第一产程行剖宫产,以利于母婴健康。
Objective To explore the correlation between cesarean section and maternal-infant complications in different stages of labor. Methods A total of 120 maternal women who underwent cesarean section in our hospital from June 2011 to June 2015 were selected and divided according to their different stages of labor. Sixty cases of caesarean section in the first stage of labor were selected as the observation group and the second 60 cases of cesarean delivery during labor as a control group. The postpartum total amount of bleeding, operation time and postoperative complications of the two groups were monitored and compared. The Apgar comprehensive score within 5 min and the incidence of various complications were monitored and statistically analyzed. Results The incidence of postpartum total bleeding, operation time and postoperative complications in the observation group were significantly lower than those in the control group (P <0.05). In the observation group, the Apgar comprehensive score And the incidence of various complications was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusions The cesarean section in the first stage of labor is better than the cesarean section in the second stage of labor, which is more conducive to maternal and child health and reduce the occurrence of maternal and neonatal complications. Therefore, in the clinical cesarean section should choose the appropriate stage of labor, As far as possible guidance of maternal cesarean section in the first stage of labor, in order to facilitate maternal and child health.