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目的:对比分析产科急症剖宫产与择期剖宫产的临床特征。方法:选取2013年4月~2015年3月我院产科收治的急症剖宫产、择期剖宫产各80例产妇作为研究对象,分别归为急症组与择期组,两组均行相应手术,对比两组产妇手术指征、手术指标、术后指标,观察术后不良事件发生情况。结果:急症组与择期则在手术指征发生率及具体手术指征构成方面均存在显著统计学差异(P<0.05);急症组手术时间、术中出血量及肛门排气时间均明显高于择期组,差异有显著统计学意义(P<0.05);急症组术后不良事件发生率为28.8%,明显高于择期则,差异有显著统计学意义(P<0.05)。结论:与择期剖宫产相比,急症剖宫产的手术危险和预后不良风险更高,需严格掌握剖宫产指征以保障母婴安全。
Objective: To compare and analyze the clinical features of emergency cesarean section and elective cesarean section. Methods: From April 2013 to March 2015, 80 cases of emergency cesarean section and elective cesarean section admitted to obstetrics and gynecology hospital from April 2013 to March 2015 in our hospital were selected as the research objects and divided into emergency group and elective group respectively. The two groups underwent corresponding surgery, The two groups of maternal surgical indications, surgical indicators, postoperative indicators were compared to observe postoperative adverse events. Results: There was a significant difference in the incidence of the operation indications and the specific operation indications between the emergency group and the elective period (P <0.05). The operation time, intraoperative blood loss and anal exhaust time of the emergency group were significantly higher than those of the emergency group (P <0.05). The incidence of postoperative adverse events in emergency group was 28.8%, which was significantly higher than that in elective period (P <0.05). Conclusion: Compared with elective cesarean section, the risk of cesarean section is higher and the risk of prognosis is higher. Cesarean section indications should be strictly controlled to ensure the safety of mother and infant.