摘要
目的:探讨第二产程剖宫产的原因及其对母婴的影响,降低母婴并发症发生率。方法:选取2011年8月-2013年11月于笔者所在医院待产并行剖宫产手术产妇204例为研究对象,将其分为第一产程组与第二产程组两组,对比两组手术指征、并发症发生率、母婴情况等。结果:第一产程组出现巨大儿19例、羊水污染28例,明显低于第二产程出现巨大儿31例、羊水污染44例,胎位不正情况发生率也明显低于第二产程组,比较差异均有统计学意义(P<0.05)。第二产程组的产妇剖宫产术后并发症发生率为10.9%,术中并发症发生率为19.6%,第一产程组孕妇术后并发症发生率为1.8%,术中并发症发生率为1.8%,两组比较差异有统计学意义(P<0.05)。结论:于第二产程行剖宫产术,对产妇与新生儿均有不同程度的影响,母婴术后并发症发生率增加,产妇应尽量避免于第二产程行剖宫产术,若情况危急则需由经验丰富的医师操刀,并做好相应的术前消毒准备工作,尽可能降低并发症发生率。
Objective：To investigate the causes of the second labor cesarean section and its impact on mater and infant,reduce the rate of complications on mater and infant.Method：Two hundred and four cases of parturients give parallel cesarean delivery operation in our hospital from August 2011 to November 2013 were selected as research objects. They were divided into the the first stage and the second stage of labor group. Puerpera clinical data were retrospectively analyzed,surgical indications,complications rate,mater and child condition were compared between the two groups.Result：19 cases of macrosomias and 28 cases of amniotic fluid polluters were seen in the first stage of labor group,while in the second stage of labor group were 31 cases and 44 cases separately.The differences between the two group were significant（P〈0.05）.The incidence of malpositions in the first stage of labor group was significantly lower than the second stage of labor group（P〈0.05）.The incidences of complications during（1.8%） and after（1.8%） the operation were also significantly lower than that of the second stage of labor group 19.6%,10.9%for during and after the operation separately（P〈0.05）.Conclusion：The second line labor cesarean section can damage the mater and newborn in some degree. The incidence of postoperative complications can be increased in this situation. So the parturients should try to avoid the second line labor cesarean section,if not,the experienced doctors are needed for the operation. Avoiding the complications the preoperative sufficient preparation is also needed.
出处
《中外医学研究》
2014年第26期20-21,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
第二产程
剖宫产
母婴影响
The second labor
Cesarean section
Influence on mater and child
