改良式子宫下段切口外下缘娩头法在重复剖宫产术中的临床应用
Clinical Application of Modified Lower Uterine Incision External Lower Edge Head Delivery Method in Repeated Cesarean Section
李兰妹 1杜玉丹 1余平平 1岳涛 1金凌燕1
作者信息
- 1. 九江市妇幼保健院妇产科 江西 九江 332000
- 折叠
摘要
目的:探究改良式子宫下段切口外下缘娩头法在重复剖宫产术中的临床应用效果.方法:选取 2023 年 1-7 月九江市妇幼保健院妇产科收治的重复剖宫产孕妇 80 例作为研究对象,按照随机数字表法分为研究组(40 例)和对照组(40 例).对照组采用常规剖宫产娩头法,研究组采用改良式子宫下段切口外下缘娩头法.比较两组临床效果.结果:研究组剖宫产手术时间、切开子宫至胎头娩出时间及产后住院时间均短于对照组,产妇不良事件发生率低于对照组(P<0.05).研究组新生儿不良事件发生率与对照组相比,差异无统计学意义(P>0.05).研究组产后出血量少于对照组,新生儿Apgar评分高于对照组(P<0.05).结论:对于重复剖宫产临床分娩,改良式子宫下段切口外下缘娩头法能够有效降低产后不良结局的发生风险性,同时可以改善产妇围手术期指标,促进术后恢复与母婴健康.
Abstract
Objective:To explore the clinical application effect of the modified lower uterine incision external lower edge head delivery method in repeated cesarean section.Method:A total of 80 pregnant women undergoing repeated cesarean section admitted to the Obstetrics and Gynecology Department of Jiujiang Maternal and Child Health Hospital from January to July 2023 were selected as the research subjects,they were divided into a study group(40 cases)and a control group(40 cases)according to the random number table method.The control group used conventional cesarean section for head delivery,while the study group used an modified lower uterine incision external lower edge head delivery method.The clinical effects of the two groups were compared.Result:Cesarean section surgery time,uterine incision to fetal head delivery time,and postpartum hospitalization time in the study group were shorter than those in the control group,and the incidence of adverse events in parturients was lower than that in the control group(P<0.05).There was no significant difference in the incidence of neonatal adverse events between the study group and the control group(P>0.05).The postpartum bleeding volume in the study group was lower than that of the control group,and the neonatal Apgar score was higher than that of the control group(P<0.05).Conclusion:For clinical delivery of repeated cesarean section,modified lower uterine incision external lower edge head delivery method can effectively reduce the risk of adverse postpartum outcomes.At the same time,it can improve the perioperative indicators of postpartum women,promote postoperative recovery and mother and baby health.
关键词
改良式娩头法/子宫切口/重复剖宫产Key words
Modified head delivery method/Uterine incision/Repeated cesarean section引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据