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目的 :探讨简便、安全、合理的剖宫产术式。方法 :对 2 86例有剖宫产指征的孕妇在新式剖宫产基础上进行改进式剖宫产 (改进组 ) ,同期相同指征的 130例孕妇行子宫下段剖宫产术 (对照组 )。比较两组术式的手术时间、平均出血量、术后排气时间、术后病率、术后疼痛、切口愈合等。结果 :改进组平均手术时间2 1 8min ,明显少于对照组 42 6min ,P <0 0 1。术中出血改进组 :平均 195ml,对照组 32 6ml,P <0 0 1。术后疼痛、排气、切口愈合均优于对照组。结论 :改进式剖宫产术式安全、简便、效果满意 ,值得推广。
Objective: To explore a simple, safe and reasonable cesarean section. Methods: A total of 286 pregnant women with indications for cesarean delivery underwent improved cesarean section (improved group) on the basis of new cesarean section. Another 130 pregnant women under the same indications underwent cesarean section (control group ). The operation time, average amount of bleeding, postoperative exhaust time, postoperative morbidity, postoperative pain and incision healing were compared between the two groups. Results: The average operation time in the improved group was 2118min, significantly less than 42min in the control group, P <0.01. Intraoperative bleeding improved group: an average of 195ml, control group 32ml, P <0 01. Postoperative pain, exhaust, incision healing were better than the control group. Conclusion: The improved cesarean section is safe, simple and satisfactory, which is worth promoting.