陈桂花

【摘要】 目的：研究瘢痕子宫再次妊娠产妇阴道分娩的護理安全性及并发症发生率影响。方法：选取笔者所在医院接收的瘢痕子宫再次妊娠采取阴道分娩的72例产妇作为研究对象，选取时间为2019年1-7月。根据产妇入院顺序进行单双号标记，其中36例单号产妇作为常规护理组，36例双号产妇作为针对性护理组。常规护理组采取常规护理干预，针对性护理组采取针对性护理干预。观察两组并发症发生率、新生儿Apgar评分、护理满意度及住院时间。结果：针对性护理组并发症发生率、护理满意度及住院时间均优于常规护理组，差异有统计学意义（P<0.05），但两组新生儿Apgar评分比较，差异无统计学意义（P>0.05）。结论：针对性护理干预对瘢痕子宫再次妊娠产妇阴道分娩的护理安全性及并发症发生率影响显著，值得进一步推广与使用。

【关键词】 瘢痕子宫再次妊娠 阴道分娩 护理安全性 并发症发生率

doi：10.14033/j.cnki.cfmr.2019.30.052 文献标识码 B 文章编号 1674-6805（2019）30-0-03

[Abstract] Objective： To study the effect of nursing safety and the incidence of complications of vaginal delivery in pregnant women with scar uterus pregnancy again. Method： A total of 72 pregnant women with scar uterus pregnancy again who received vaginal delivery in our hospital were selected as the research objects. The time of selection was from January to July 2019. According to the order of admission of pregnant women， single and double number labels were carried out. Among them， 36 cases of single-numbered pregnant women as the routine nursing group， 36 cases of double-numbered pregnant women as the targeted nursing group. The routine nursing group adopted routine nursing intervention， and the targeted nursing group adopted targeted nursing intervention. The incidence of complications， neonatal Apgar score， nursing satisfaction and hospitalization time of the two groups were observed. Result： The incidence of complications， nursing satisfaction and hospitalization time in the targeted nursing group were better than those in the routine nursing group， the differences were statistically significant （P<0.05）， but there was no significant difference in Apgar score between the two groups （P>0.05）. Conclusion： Targeted nursing intervention has a significant impact on the nursing safety of vaginal delivery and the incidence of complications of pregnant women with scar uterus again， which is worthy of further promotion and use.

[Key words] Scar uterus pregnancy again Vaginal delivery Nursing safety Incidence of complications

First-authors address： First Affiliated Hospital of Xiamen University， Xiamen 361000， China

瘢痕子宫再次妊娠后采取剖宫产进行分娩，会损伤产妇的子宫，还会产生很多并发症，对胎儿造成影响[1]。本文研究瘢痕子宫再次妊娠产妇阴道分娩的护理安全性及并发症发生率影响，选取笔者所在医院接收的瘢痕子宫再次妊娠采取阴道分娩的72例产妇作为研究对象进行研究，选取时间为2019年1-7月，现报道如下。

1 资料与方法

1.1 一般资料

本次研究选取笔者所在医院接收的瘢痕子宫再次妊娠采取阴道分娩的72例产妇作为研究对象，选取时间为2019年1-7月。纳入标准：（1）患者妊娠距离上次手术时间超过2年;（2）患者术后无任何感染，且伤口愈合良好;（3）患者胎盘附着部位经过彩超检查明确，且患者伤口没有出现缺损或者薄弱等情况。……