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1. 伊川县人民医院妇产科
2. 河南科技大学第一附属医院产科
3. 洛阳市中心医院妇科
纸质出版日期:2022,
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武辉, 陈素娟, 刘恒, 等. 子宫托举装置用于防治剖宫产术中仰卧位低血压综合征的临床效果[J]. 保健医学研究与实践, 2022,19(6):18-21.
Wu Hui, Chen Sujuan, Liu Heng, et al. Clinical effect of uterine support device for prevention and treatment of supine hypotension syndrome during cesarean section[J]. Health Medicine Research and Practice, 2022,19(6):18-21.
武辉, 陈素娟, 刘恒, 等. 子宫托举装置用于防治剖宫产术中仰卧位低血压综合征的临床效果[J]. 保健医学研究与实践, 2022,19(6):18-21. DOI:
Wu Hui, Chen Sujuan, Liu Heng, et al. Clinical effect of uterine support device for prevention and treatment of supine hypotension syndrome during cesarean section[J]. Health Medicine Research and Practice, 2022,19(6):18-21. DOI:
目的 探析应用子宫托举装置防治剖宫产术中仰卧位低血压综合征的效果以及对孕妇血压、不良反应、新生儿阿普加(Apgar)评分的影响。方法 选取2019年2月—2021年3月洛阳市某医院行择期剖宫产的126例单胎产妇为研究对象
采用随机数字表法分为对照组和观察组
各63例。对照组孕妇行正常剖宫产手术
观察组孕妇在此基础上采用子宫托举装置
比较2组孕妇剖宫产术中仰卧位低血压综合征发生率、麻醉前后各时间点的血压水平[收缩压(SBP)、舒张压(DBP)]、不良反应发生情况及新生儿身体状况(Apgar评分)。结果 观察组孕妇剖宫产术中仰卧位低血压综合征的发生率为6.35%
低于对照组的20.63%
差异有统计学意义(P<0.05)。麻醉后
2组孕妇SBP、DBP水平均低于麻醉前
观察组高于对照组
差异均有统计学意义(P<0.05)。观察组孕妇不良反应发生率为7.93%
低于对照组的25.40%
差异有统计学意义(P<0.05)。观察组新生儿Apgar评分为(9.39±0.31)分
低于对照组的(9.44±0.26)分
差异无统计学意义(P>0.05)。结论 使用子宫托举装置可有效预防剖宫产术中仰卧位低血压综合征发生风险
降低孕妇术中血压波动幅度及不良反应发生率
且不影响新生儿身体状况
具有一定的临床推广价值。
Objective To explore the effect of uterine support device on the prevention and treatment of intraoperative supine hypotension syndrome during cesarean delivery and on maternal blood pressure
adverse effects
and neonatal Apgar score(Apgar). Methods A total of 126 singleton women who underwent elective cesarean delivery in a hospital in Luoyang City from February 2019 to March 2021 were selected as subjects. They were assigned to a control group and an experimental group using the random number table method
with 63 cases in each group. The pregnant women in the control group underwent normal cesarean section
and the pregnant women in the experimental group were treated with a uterine support device after receiving the cesarean section. The incidence of supine hypotension syndrome
blood pressure levels [systolic blood pressure(SBP) and diastolic blood pressure(DBP)] at various time points before and after anesthesia
the occurrence of adverse reactions and the physical condition of the newborn(Apgar score) during cesarean section were compared between the two groups. Results The incidence of supine hypotension syndrome in pregnant women in the experimental group during cesarean section was 6.35%
which was lower than that in the control group(20.63%)
and the difference was statistically significant(P<0.05). The blood pressure(SBP and DBP) levels of pregnant women in the 2 groups after anesthesia were lower than that before anesthesia
with the experimental group higher than the control group
and the differences were statistically significant(P <0.05). The incidence of adverse reactions in pregnant women in the experimental group was 7.94%
which was lower than that in the control group(25.40%)
and the difference was statistically significant(P <0.05). The Apgar scores of newborns in the experimental group were(9.39±0.31)
which was lower than that of the control group(9.44±0.26)
and the difference was not statistically significant(P>0.05). Conclusion The use of a uterine support device can effectively prevent the risk of supine hypotension syndrome during cesarean delivery
reduce the magnitude of intraoperative blood pressure fluctuations and the occurrence of adverse reactions in pregnant women
and maintain the physical condition of the newborn. These advantages justify
to some degree
a wider application of this device.
剖宫产仰卧位低血压综合征子宫托举装置血压Apgar评分
Cesarean deliverySupine hypotension syndromeUterine support deviceBlood pressureApgar score
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