瘢痕子宫再次妊娠236例阴道分娩中应用气囊仿生助产的临床观察

发布时间：2019-02-18 07:36

【摘要】：目的探讨气囊仿生助产在瘢痕子宫再次妊娠足月阴道分娩中的作用。方法回顾性分析236例瘢痕子宫再次足月妊娠阴道试产孕妇的临床资料。研究组118例临产后宫口扩张2~4 cm时行双扩法气囊仿生助产,对照组118例常规阴道助娩。结果研究组阴道分娩108例,试产成功率91.5%(108/118);对照组阴道分娩77例,成功率65.3%(77/118),两组比较,差异有统计学意义(P0.01);研究组第一、二产程时间分别为(430.5±15.2)min和(33.4±10.3)min,对照组分别为(680.7±25.6)min和(65.6±33.8)min,两组比较,差异均有统计学意义(P均0.01)。研究组产后出血量【(210.6±34.2)ml】与对照组【(238.1±36.8)ml】比较,差异无统计学意义(P0.05)。研究组新生儿窒息率(6.8%,8/118)与对照组(9.3%,11/118)比较,差异无统计学意义(P0.05)。两组均无子宫破裂发生。结论气囊仿生助产可明显提高瘢痕子宫再次足月妊娠阴道分娩的成功率,可有效降低剖宫产率。
[Abstract]:Objective to investigate the role of balloon bionic delivery in the second term vaginal delivery of scar uterus. Methods the clinical data of 236 pregnant women with full term pregnancy were retrospectively analyzed. The study group (n = 118) received bionic delivery with balloon during 2 cm dilatation of the uterine orifice after labor, while the control group (n = 118) received routine vaginal assisted delivery. Results the successful rate of vaginal delivery was 91.5% (108 / 118) in the study group and 65.3% (77 / 118) in the control group (P0.01). The duration of the first and second stages of labor in the study group was (430.5 卤15.2) min and (33.4 卤10.3) min, respectively, compared with (680.7 卤25.6) min and (65.6 卤33.8) min, in the control group. The difference was statistically significant (P 0.01). The amount of postpartum hemorrhage in the study group [(210.6 卤34.2) ml] was not significantly different from that in the control group [(238.1 卤36.8) ml] (P0.05). There was no significant difference in neonatal asphyxia rate between the study group (6.8 / 118) and the control group (9.3% 11 / 118) (P0.05). No uterine rupture occurred in both groups. Conclusion Balloon bionic midwifery can significantly improve the success rate of second term pregnancy and vaginal delivery of scar uterus, and can effectively reduce the rate of cesarean section.
【作者单位】：河南省新乡市妇幼保健院妇产科;
【分类号】：R714.4

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