滨州医学院学报2023，Vol.46Issue(6)：449-452,4.DOI:10.19739/j.cnki.issn1001-9510.2023.06.011
阴道分娩产妇宫颈裂伤危险因素的病例对照研究
Case-control study on risk factors of cervical laceration in vaginal delivery women
皮倩 1吴钰 2陆娜 2贾晓平 2张丽1
作者信息
- 1. 滨州医学院 山东 烟台 264003
- 2. 山东第一医科大学附属省立医院 山东济南 250014
- 折叠
摘要
Abstract
Objective To analyze the risk factors of cervical laceration in vaginal delivery women,so as to provide basis for prevention of cervical laceration.Methods A retrospective study was carried out to select 197 parturients who had cervical lacer-ation during vaginal delivery as the case group,and 394 parturients who had no cervical laceration during the same period as the control group according to a 1:2 ratio.The results of the two groups were analyzed.Results The total incidence of cervical lac-eration was 4.22%,and 64 cases(32.5%)had multiple lacerations;among them,108 cases(54.8%)were lacerated at 9 points,98 cases(50.0%)at 3 points,and 129 cases(65.5%)were lacerated at 2cm in length.Single factor analysis screened 12 factors with statistical significance(all P＜0.05),such as the total labor process,and the occurrence of cervical laceration.Multivariate logistic regression analysis showed that the frequency of vaginal examination,cervical edema,and cervical smear were independent risk factors for cervical laceration in vaginal delivery women.Conclusion The incidence of cervical laceration in vaginal delivery is still high,the proportion of multiple lacerations is large,and the laceration sites are relatively concentrated;the frequency of vaginal examination,cervical edema and cervical smear were independent risk factors.Controlling the number of vaginal examinations,preventing and relieving cervical edema,and standardizing cervical smear during labor are all precise pre-ventive measures for cervical laceration.关键词
阴道分娩/宫颈裂伤/危险因素/病例对照研究Key words
vaginal delivery/cervical laceration/risk factor/case control study分类
医药卫生引用本文复制引用
皮倩,吴钰,陆娜,贾晓平,张丽..阴道分娩产妇宫颈裂伤危险因素的病例对照研究[J].滨州医学院学报,2023,46(6):449-452,4.
