宫颈治疗方式对妊娠结局及分娩方式的影响

发布时间：2018-06-11 16:45

本文选题：妊娠结局 + 宫颈治疗　；参考：《重庆医学》2017年08期

【摘要】：目的探讨宫颈治疗对妊娠结局及分娩方式的影响。方法收集2012年6月至2015年6月该院住院分娩且孕前在该院行各类宫颈治疗的初产妇共249例为研究组,研究组按不同治疗方式分为手术治疗组97例(环形电刀锥切术和宫颈冷刀锥切术)及物理治疗组152例(激光和聚焦超声)。选取同期在该院住院分娩,无宫颈治疗史的初产妇250例作为对照组。观察各组的早产率、胎膜早破率、分娩方式、产程、新生儿体质量。结果 (1)研究组剖宫产率为65.86%,早产率为13.65%,胎膜早破发生率为20.48%,均明显高于对照组,差异有统计学意义(χ~2=18.428、10.452、8.066,P0.05)。研究组新生儿体质量为(3 360.71±517.08)g,较对照组轻,差异有统计学意义(χ~2=2.459,P0.05)。(2)宫颈手术治疗组及物理治疗组剖宫产率分别为76.28%和59.21%,差异有统计学意义(χ~2=7.681、P0.01)。两组胎膜早破发生率分别为28.87%和15.13%,差异有统计学意义(χ~2=6.858,P0.01)。(3)手术治疗组、物理治疗组、对照组顺产产程时间分别为(7.18±2.97)、(7.27±3.17)和(7.71±2.88)h,各组间比较差异无统计学意义(χ~2=0.915、0.790、0.143,P0.05)。结论各类宫颈治疗增加了早产、胎膜早破及剖宫产率,对产程时间无影响。
[Abstract]:Objective to investigate the effect of cervical treatment on the outcome of pregnancy and the way of delivery. Methods a total of 249 primipara women who were hospitalized in the hospital from June 2012 to June 2015 and were treated with various cervical treatments before pregnancy as the study group. The study group was divided into 97 cases in the operation group according to different treatment methods (ring knife coning and cold knife coning) and In the physical treatment group, 152 cases (laser and focused ultrasound) were selected and 250 primiparas without the history of cervical treatment were selected as the control group. The preterm birth rate, the premature rupture of the membranes, the mode of delivery, the birth process and the mass of the newborn were observed. The results were (1) the rate of cesarean section was 65.86%, the premature birth rate was 13.65%, and the incidence of premature rupture of the membranes was 20.4. 8%, significantly higher than the control group, the difference was statistically significant (~2=18.428,10.452,8.066, P0.05). The body mass of the study group was (3360.71 + 517.08) g, compared with the control group, the difference was statistically significant (x ~2=2.459, P0.05). (2) the rate of caesarean section in the cervical surgery group and the physical therapy group was 76.28% and 59.21%, respectively. ~2=7.681, P0.01). The incidence of premature rupture of membranes in the two groups was 28.87% and 15.13%, respectively (x ~2=6.858, P0.01). (3) the operation treatment group, physical therapy group, and control group were (7.18 + 2.97), (7.27 + 3.17) and (7.71 + 2.88) h, respectively, and there was no statistical difference between each group (x ~2=0.915,0.790,0.143, P0.05). All kinds of cervical treatment increased premature delivery, premature rupture of membranes and cesarean section rate, and had no effect on the duration of labor.
【作者单位】：湖北省妇幼保健院产科;
【分类号】：R714

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