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目的:探究分娩镇痛在疤痕子宫再次妊娠中经阴道试产的效果。方法:收集2016年1月至2016年10月江门市新会区妇女儿童医院妇产科收治的80例疤痕子宫再次妊娠中经阴道试产产妇,将上述孕妇按照随机数表法平分为两组,对照组孕妇正常阴道分娩,观察组孕妇接受经阴道试产分娩镇痛,比较两组孕妇的试产成功率、分娩时间、产后出血以及新生儿Apgar评分等指标。结果:(1)两组孕妇产后出血、第三产程时间指标,差异无统计学意义(P>0.05);观察组孕妇试产成功率(92.5%)显著高于对照组孕妇试产成功率(80.0%),差异具有统计学意义(P<0.05)。观察组孕妇第二产程时间(27.5±8.9)min显著低于对照组孕妇第二产程时间(37.0±10.2)min,差异具有统计学意义(P<0.05)。(2)两组新生儿1 min Apgar评分、5 min Apgar评分比较,差异无统计学意义(P>0.05)。结论:分娩镇痛在疤痕子宫再次妊娠经阴道试产中的效果显著。
Objective: To explore the effect of labor analgesia in vaginal trial of scar pregnancy again in pregnancy. Methods: From January 2016 to October 2016, 80 vaginal uterine pregnancies underwent gynecology and obstetrics in Xinhui District Women and Children’s Hospital of Jiangmen City were collected. The pregnant women were divided into two groups according to the random number table , The control group of normal pregnant women vaginal delivery, the observation group of pregnant women receiving vaginal trial labor analgesia, trial success rate of two groups of pregnant women, delivery time, postpartum hemorrhage and neonatal Apgar scores and other indicators. Results: (1) The postpartum hemorrhage and the third stage of labor were not significantly different between the two groups (P> 0.05). The success rate of trial production in the observation group (92.5%) was significantly higher than that of the control group 80.0%), the difference was statistically significant (P <0.05). The time of second stage of labor (27.5 ± 8.9) min in observation group was significantly lower than that in control group (37.0 ± 10.2) min, the difference was statistically significant (P <0.05). (2) There was no significant difference in Apgar score at 1 minute and Apgar score at 5 minutes in both groups (P> 0.05). Conclusion: Labor analgesia in the uterus scar pregnancy again vaginal trial results in a significant effect.