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目的:探讨肥胖孕妇与剖宫产术中、术后并发症的关系。方法:随机选择2008年1月～2011年1月在南通市妇幼保健院足月分娩的孕妇470例,均因社会因素行剖宫产术,根据孕妇体重指数(BMI)分为3组,孕前肥胖组(孕前BMI≥25)120例,产前肥胖组(分娩前BMI>28)100例,正常体重对照组(孕前BMI 17～24,孕期体重增加<15 kg)250例,比较3组术中及术后并发症情况。结果:孕前肥胖组孕妇术后病率、切口脂肪液化、术后住院时间与对照组比较差异有统计学意义(P<0.05);产前肥胖组孕妇剖宫产麻醉时间、开腹至娩出胎头时间、术后病率、腹壁切口脂肪液化、血栓性疾病、术后住院时间明显增加,与对照组比较差异有统计学意义(P<0.05)。结论:肥胖孕妇剖宫产术中、术后并发症发生率明显增加。
Objective: To explore the relationship between obese pregnant women and cesarean section in the postoperative complications. Methods: A total of 470 pregnant women of full-term childbirth in Nantong Maternal and Child Health Hospital were selected from January 2008 to January 2011. All patients underwent cesarean section due to social factors and were divided into 3 groups according to body mass index (BMI) 100 cases of obesity group (pre-pregnancy BMI≥25), 100 cases of pre-obesity group (BMI> 28 before delivery), 250 cases of normal weight control group (pre-pregnancy BMI 17-24, weight gain during pregnancy <15 kg) Mid and postoperative complications. Results: The postoperative pregnant women with obesity before pregnancy rate, incision fat liquefaction, postoperative hospital stay compared with the control group, the difference was statistically significant (P <0.05); prenatal obesity group of pregnant women, cesarean section anesthesia time, Head time, postoperative morbidity, abdominal wall incision fat liquefaction, thrombotic disease, postoperative hospital stay increased significantly, compared with the control group, the difference was statistically significant (P <0.05). Conclusion: Cesarean section in obese pregnant women, the incidence of postoperative complications increased significantly.