【摘要】 目的评价急诊5 min剖宫产的临床应用效果。方法选择2017年在西安市第四医院行5 min剖宫产的产妇56例为研究组,2016年行紧急剖宫产的产妇62例为对照组。统计两组围手术期指标,观察两组母婴结局。结果 (1)两组产妇并发症(产后出血、附件损伤、术后转ICU、切口感染、术后发热)比较,差异均无统计学意义(P> 0.05);(2)研究组决定手术至胎儿娩出时间(decision to delivery interval,DDI)为(4.04±0.52) min,明显短于对照组的(15.44±1.04) min;两组术中出血量、住院时间比较,差异均无统计学意义(P>0.05)。(3)研究组新生儿1 min Apgar评分<7分的比例低于对照组,脐动脉血pH值高于对照组(P <0.05);两组5 min Apgar评分<7分比例比较,差异无统计学意义(P> 0.05)。结论 5 min剖宫产能挽救急危产妇及胎儿生命,有效改善母婴结局,值得临床推广。更多还原

【Abstract】 Objective To evaluate the clinical effect of 5 minutes emergency cesarean section.Methods 56 women who underwent 5 minutes of cesarean section in Xi’an Fourth Hospital in the year 2017 were selected as the study group.62 women who underwent emergency cesarean section in the year 2016 were included as control group.The perioperative indicators of the two groups were counted and the maternal and infant outcomes were observed.Results(1) There were no significant differences in maternal complications(postpartum hemorrhage,ovarian injury,postoperative ICU occupancy,incision infection,postoperative fever) between the two groups(P>0.05).(2) The DDI of the study group was(4.04±0.52) min,obviously shorter than that of DDI in the control group[(15.44±1.04) min](P<0.05).There was no significant difference in the amount of intraoperative blood loss and hospital stay between the two groups(P>0.05).(3) The neonatal 1 min Apgar score<7 ratio was lower in the study group than in the control group,and the umbilical arterial blood p H was higher than the control group(P<0.05).The 5 min Apgar score<7 ratio compared between the two groups had no statistical difference(P>0.05).Conclusion The 5 min cesarean section can save the life of the mother and the fetus,and effectively improve the maternal and child outcomes,which is worthy of clinical promotion.更多还原