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目的探讨剖宫产术后近期并发症的发生情况及其防治措施。方法对平顶山市妇幼保健院2013年1月—2015年12月期间的产妇分娩情况进行分析回顾,并对其产后并发症发生情况进行回顾性分析,按照产妇分娩方法的不同将其分为剖宫产组和自然分娩组,并对其临床资料进行对比分析。结果剖宫产术后近期并发症以产后出血最为常见,占整体的68.33%,其出血原因包括1例手术损伤,13例胎盘因素,25例宫缩乏力和2例其他因素;其次为产褥感染,占整体的28.33%,其中包括13例腹壁切口感染,4例子宫切口感染所致愈合不良。结论合理掌握剖宫产手术指征,并对高危产妇进行预防性治疗,有利于促进剖宫产术后近期并发症发生风险的下降,对于避免医患纠纷,改善产妇生活质量具有十分积极的意义。
Objective To investigate the incidence of complications after cesarean section and its prevention and treatment. Methods The situation of maternal childbirth in Pingdingshan Maternal and Child Health Hospital from January 2013 to December 2015 was retrospectively analyzed. The incidence of postpartum complications was retrospectively analyzed. According to the different methods of maternal delivery, the patients were divided into cesarean section Production group and natural childbirth group, and its clinical data were analyzed. Results Postpartum hemorrhage was the most common complication after cesarean section, accounting for 68.33% of the total. The causes of hemorrhage included 1 case of surgical injury, 13 cases of placenta, 25 cases of uterine inertia and 2 cases of other factors. The second was puerperal Infection, accounting for 28.33% of the overall, including 13 cases of abdominal incision infection, 4 cases of uterine incision infection caused by poor healing. Conclusion Reasonable grasp of indications for cesarean section and prophylactic treatment of high-risk mothers are helpful to reduce the risk of recent complications after cesarean section. It is of great significance to avoid doctor-patient disputes and improve maternal life quality .