运用气囊仿生助产术提高瘢痕子宫经阴道分娩成功率的有效性分析

梁丽碧??吴东兰??何锦卿??李勉勤??骆韬平

[摘要] 目的 分析運用气囊仿生助产术提高瘢痕子宫经阴道分娩成功率的有效性。 方法 从2016年3月～2017年3月期间我院接收的瘢痕子宫再次足月妊娠阴道分娩产妇中随机选取200例作为本文研究对象，将其分为对照组98例和实验组102例。为对照组产妇进行常规阴道助娩，为实验组产妇运用气囊助产术助娩，观察并比较两组产妇的分娩成功情况。 结果 经过助娩，实验组产妇经阴道分娩成功率为91.18%，对照组产妇的分娩成功率为77.55%，气囊仿生助产术助娩较常规阴道助娩更能促进瘢痕子宫产妇分娩成功率的提高，经SPSS19.0统计学软件分析得出χ2=7.08，P<0.01；实验组产妇的第一产程时间、第二产程时间、总产程时间均明显少于对照组产妇的相应时间，差异具有统计学意义（P<0.05）。 结论 运用气囊助产术可有效提高瘢痕子宫产妇阴道分娩成功率，使瘢痕子宫产妇的产后出血量控制在正常水平范围内，产后无大出血、会阴血肿、尿潴留等并发症，新生儿的Apgar评分在7 ～ 10分范围内，临床医学界应对气囊助产术进行大力推广。

[关键词] 气囊助产术；瘢痕子宫；阴道分娩；分娩成功率；有效性分析

[中图分类号] R714.4 [文献标识码] A [文章编号] 2095-0616（2017）12-86-04

Effectiveness analysis of balloon bionic midwifery in improving the success rate of vaginal delivery

LIANG Libi WU Donglan HE Jinqing LI Mianqin LUO Taoping

Department of Obstetrics， Shunde District Maternal and Child Health Care Hospital， Guangdong， Foshan 528300， China

[Abstract] Objective To analyze the effectiveness of balloon bionic midwifery tin improving the success rate of uterine vaginal delivery. Methods From March 2016 to March 2017， 200 cases were randomly selected from the uterus of the uterus and the uterus. They were randomly divided into control group （n=98） and experimental group （n=102）. Routine vaginal delivery was performed in the control group， and the labor was delivered to the pregnant women in the experimental group. The success of the delivery of the two groups was observed and compared. Results After successful labor delivery， the success rate of vaginal delivery was 91.18% in the experimental group and 77.55% in the control group. The delivery rate of the vaginal delivery was better than that of the conventional vaginal delivery. And the mean time of labor was significantly lower than that of the control group （P<0.01）. The first time of labor， the second labor time and the total labor time were significantly lower in the experimental group than in the control group， P<0.05， which indicated that the data difference was statistically significant. Conclusion The use of airbag midwifery can effectively improve the success rate of vaginal delivery in children with scar， so that the postpartum hemorrhage of the maternal maternal mellitus is controlled within the normal level， and there are no complications such as hemorrhage， perineum hematoma and urinary retention. Score in the range of 7 points to 10 points， the clinical community should be vigorously promote the delivery of air sacs.

[Key words] Balloon midwifery；Scar uterus； Vaginal delivery；Delivery success rate；Validity analysis

剖宫产的手术风险和并发症高于阴道分娩，且多次剖宫产会使下次妊娠发生子宫破裂、瘢痕妊娠、凶险性前置胎盘等并发症的风险增加[1]。近两年自单独及二孩政策相继推出后，国内剖宫产后再次宫妊娠的女性甚多。对于剖宫产后再次宫妊娠女性，如能成功的经阴道分娩可以减少并避免失血、输血、感染、脏器损伤及粘连、新生湿肺、感统失调综合征等不良妊娠结局，但（VBAC）失败可能面临着子宫破裂的风险[2]。只要正确掌握阴道试产指征，严格观察产程，剖宫产术后再次妊娠阴道分娩是安全可行的 [3]，对母婴的身体健康均具有重要的意义，特别对新生儿的智力、身体发育等存在积极作用[4]。……