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目的探讨瘢痕子宫孕期管理对剖宫产的影响。方法将瘢痕子宫孕妇99例随机分为研究组与对照组。研究组50例给予孕期全程孕期管理,对照组49例进行常规孕期检查,对比2组剖宫产率、分娩出血量和住院时间、焦虑抑郁情况。结果研究组剖宫产率为12.00%低于对照组的36.73%,分娩出血量、住院时间和焦虑抑郁发生率明显少于对照组,差异均有统计学意义(P<0.05)。结论重视瘢痕子宫孕期管理可有效降低剖宫产发生率,改善产妇的分娩结局,且能有效改善患者心理焦虑、抑郁情绪,值得临床推广应用。
Objective To investigate the effect of pregnancy management of cesarean scar on cesarean section. Methods 99 pregnant women with uterine scar were randomly divided into study group and control group. Study group 50 cases during pregnancy to give full pregnancy control, control group, 49 cases of routine pregnancy examination, compared with two groups of cesarean section rate, delivery and hospitalization time, anxiety and depression. Results The rate of cesarean section in study group was 12.00%, which was lower than 36.73% in control group. The incidence of bleeding, length of hospital stay and anxiety and depression in study group were significantly less than those in control group (P <0.05). Conclusion The emphasis on uterine pregnancy management can effectively reduce the incidence of cesarean section, improve maternal delivery outcomes, and can effectively improve the patient’s psychological anxiety and depression, which is worthy of clinical application.