气囊仿生助产术在剖宫产术后瘢痕子宫再次妊娠阴道分娩中的应用价值
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摘要
目的探讨气囊仿生助产术在剖宫产术后瘢痕子宫再次妊娠阴道分娩中的应用价值。方法将我院收治的60例剖宫产术后瘢痕子宫再次妊娠产妇按照随机数字表法分为研究组和对照组,各30例。对照组采用常规阴道助产,研究组采用气囊仿生助产术,比较两组的分娩情况。结果研究组阴道分娩率明显高于对照组,剖宫产率及产钳助产率明显低于对照组(P<0.05)。研究组第一、第二产程及总产程时间均明显短于对照组(P<0.05)。研究组的产时出血量、产后2 h出血量均明显少于对照组(P<0.05)。研究组产妇的产后并发症总发生率及新生儿窒息率均明显低于对照组(P<0.05)。结论气囊仿生助产术在瘢痕子宫再次妊娠阴道分娩中具有良好效果,其可有效提高阴道分娩率,缩短产程时间,减少产时、产后出血量,保证产妇及新生儿的安全。
Objective To explore the application value of balloon bionic midwifery in re-pregnancy vaginal delivery of scar uterus after cesarean section. Methods A total of 60 cases re-pregnancy vaginal delivery of scar uterus after cesarean section in our hospital were divided into study group and control group by random number table method, with 30 cases in each group. The control group was given routine vaginal midwifery, while the study group was given balloon bionic midwifery. The delivery conditions of the two groups were compared. Results The vaginal delivery rate in the study group was significantly higher than that in the control group, and the cesarean section rate and forceps delivery rate were significantly lower than those in the control group(P<0.05). The first, second labors duration and total duration of labors in the study group were significantly shorter than those in the control group(P<0.05). The amount of intrapartum hemorrhage and 2 h postpartum hemorrhage in the study group were significantly less than those in the control group(P <0.05). The total incidence of postpartum complications and neonatal asphyxia rate in the study group were significantly lower than those in the control group(P <0.05). Conclusion Balloon bionic midwifery has a good effect in re-pregnancy vaginal delivery of scar uterus after cesarean section, which can effectively improve the vaginal delivery rate, shorten the duration of labor, reduce amount of intrapartum and postpartum hemorrhage, and ensure the safety of mothers and newborns.
Objective To explore the application value of balloon bionic midwifery in re-pregnancy vaginal delivery of scar uterus after cesarean section. Methods A total of 60 cases re-pregnancy vaginal delivery of scar uterus after cesarean section in our hospital were divided into study group and control group by random number table method, with 30 cases in each group. The control group was given routine vaginal midwifery, while the study group was given balloon bionic midwifery. The delivery conditions of the two groups were compared. Results The vaginal delivery rate in the study group was significantly higher than that in the control group, and the cesarean section rate and forceps delivery rate were significantly lower than those in the control group(P<0.05). The first, second labors duration and total duration of labors in the study group were significantly shorter than those in the control group(P<0.05). The amount of intrapartum hemorrhage and 2 h postpartum hemorrhage in the study group were significantly less than those in the control group(P <0.05). The total incidence of postpartum complications and neonatal asphyxia rate in the study group were significantly lower than those in the control group(P <0.05). Conclusion Balloon bionic midwifery has a good effect in re-pregnancy vaginal delivery of scar uterus after cesarean section, which can effectively improve the vaginal delivery rate, shorten the duration of labor, reduce amount of intrapartum and postpartum hemorrhage, and ensure the safety of mothers and newborns.
引文
[1]陆莹,郑疆.剖宫产瘢痕子宫妇女再次妊娠阴道分娩的临床观察[J].中国计划生育学杂志,2015,23(4):254-256.
[2]余敏,涂江莲.瘢痕子宫足月妊娠孕妇阴道分娩的临床分析[J].中国医药导报,2015,12(8):48-49.
[3]屈在卿,马润玫.剖宫产后瘢痕子宫妊娠早产经阴道分娩的临床对比分析[J].实用妇产科杂志,2016,32(7):546-548.
[4]杜明钰,李航,马润玫.前次剖宫产史瘢痕子宫阴道分娩的评估及管理[J].实用妇产科杂志,2016,32(3):167-170.
[5]谭霭谊,周立平,胡品佳,等.瘢痕子宫再次妊娠阴道分娩的可行性及分娩效果[J].中国生育健康杂志,2017,28(2):158-159,177.
[6]刘晓华,续云芳.剖宫产后瘢痕子宫再次妊娠经阴道分娩的母婴结局[J].中国性科学,2017,26(10):110-112.
[7]应海燕,徐平.不同分娩方式在瘢痕子宫再次妊娠产妇炎性状态与应激状态的影响比较[J].河北医学,2016,22(10):1687-1689.
[8]吴素勤,王鹰,舒志明,等.疤痕子宫再次妊娠分娩方式的危险因素分析[J].中国临床药理学杂志,2017,33(7):662-664.
[9]余琳,苏春宏,王晓怡,等.剖宫产术后再次妊娠阴道试产的多中心临床研究[J].中华妇产科杂志,2016,51(8):581-585.
[10]刘星,刘俊丽.瘢痕子宫再次妊娠分娩方式临床分析[J].陕西医学杂志,2015,44(12):1639-1641.
[11]饶文玉,姚娟,区少心.气囊仿生助产在瘢痕子宫再次妊娠足月分娩产妇中的应用[J].齐鲁护理杂志,2017,23(16):27-29.
[12]李嘉蔚,饶美兰,周平,等.气囊仿生助产技术应用于瘢痕子宫妊娠阴道分娩的临床价值研究[J].中国医药科学,2017,7(1):32-35.
[13]梁丽碧,吴东兰,何锦卿,等.运用气囊仿生助产术提高瘢痕子宫经阴道分娩成功率的有效性分析[J].中国医药科学,2017,7(12):86-89.
[14]杨夏穗.气囊仿生助产术对产后子宫收缩及产后出血的观察[J]华夏医学,2015,28(4):114-116.
[15]熊爱群,何悦枝,韩金秀.气囊仿生助产术应用的临床研究[J].中国医学创新,2018,15(13):142-144.
[16]韦柳红.气囊仿生助产护理在产妇分娩过程中的应用效果[J].临床合理用药杂志,2017,10(3):141-142.
[17]熊爱群,韩金秀,何悦枝.气囊仿生助产技术对产程及母婴的影响[J].中国医药科学,2017,7(18):107-109,196.
[18]陆凤英.仿生助产配合手转胎头在分娩中的应用效果[J].中国保健营养,2016,26(20):229.
[2]余敏,涂江莲.瘢痕子宫足月妊娠孕妇阴道分娩的临床分析[J].中国医药导报,2015,12(8):48-49.
[3]屈在卿,马润玫.剖宫产后瘢痕子宫妊娠早产经阴道分娩的临床对比分析[J].实用妇产科杂志,2016,32(7):546-548.
[4]杜明钰,李航,马润玫.前次剖宫产史瘢痕子宫阴道分娩的评估及管理[J].实用妇产科杂志,2016,32(3):167-170.
[5]谭霭谊,周立平,胡品佳,等.瘢痕子宫再次妊娠阴道分娩的可行性及分娩效果[J].中国生育健康杂志,2017,28(2):158-159,177.
[6]刘晓华,续云芳.剖宫产后瘢痕子宫再次妊娠经阴道分娩的母婴结局[J].中国性科学,2017,26(10):110-112.
[7]应海燕,徐平.不同分娩方式在瘢痕子宫再次妊娠产妇炎性状态与应激状态的影响比较[J].河北医学,2016,22(10):1687-1689.
[8]吴素勤,王鹰,舒志明,等.疤痕子宫再次妊娠分娩方式的危险因素分析[J].中国临床药理学杂志,2017,33(7):662-664.
[9]余琳,苏春宏,王晓怡,等.剖宫产术后再次妊娠阴道试产的多中心临床研究[J].中华妇产科杂志,2016,51(8):581-585.
[10]刘星,刘俊丽.瘢痕子宫再次妊娠分娩方式临床分析[J].陕西医学杂志,2015,44(12):1639-1641.
[11]饶文玉,姚娟,区少心.气囊仿生助产在瘢痕子宫再次妊娠足月分娩产妇中的应用[J].齐鲁护理杂志,2017,23(16):27-29.
[12]李嘉蔚,饶美兰,周平,等.气囊仿生助产技术应用于瘢痕子宫妊娠阴道分娩的临床价值研究[J].中国医药科学,2017,7(1):32-35.
[13]梁丽碧,吴东兰,何锦卿,等.运用气囊仿生助产术提高瘢痕子宫经阴道分娩成功率的有效性分析[J].中国医药科学,2017,7(12):86-89.
[14]杨夏穗.气囊仿生助产术对产后子宫收缩及产后出血的观察[J]华夏医学,2015,28(4):114-116.
[15]熊爱群,何悦枝,韩金秀.气囊仿生助产术应用的临床研究[J].中国医学创新,2018,15(13):142-144.
[16]韦柳红.气囊仿生助产护理在产妇分娩过程中的应用效果[J].临床合理用药杂志,2017,10(3):141-142.
[17]熊爱群,韩金秀,何悦枝.气囊仿生助产技术对产程及母婴的影响[J].中国医药科学,2017,7(18):107-109,196.
[18]陆凤英.仿生助产配合手转胎头在分娩中的应用效果[J].中国保健营养,2016,26(20):229.