川北医学院学报2025，Vol.40Issue(6)：727-731,5.DOI:10.3969/j.issn.1005-3697.2025.06.010
不同麻醉状态下孕期经阴道宫颈环扎术对患者母婴结局的影响观察
Influence of transvaginal cervical cerclage during pregnancy on maternal-infant outcomes under different anesthesia conditions
摘要
Abstract
Objective:To investigate the influence of transvaginal cervical cerclage during pregnancy on maternal-infant out-comes under different anesthesia conditions.Methods:Patients with cervical incompetence(CIC)who underwent McDonald's surgery were selected as the research subjects,71 patients were selected from the anesthesia state and included in the anesthesia group,and 113 patients were selected from the non-anesthesia state and included in the non anesthesia group.Each group was selected based on cervi-cal length≥10 mm and＜10 mm for data analysis.The differences in surgical related indicators,maternal complications,pregnancy outcomes,and neonatal outcomes were recorded.Results:For patients with cervical length＜10 mm,the non anesthesia group had lower hospitalization costs than the anesthesia group(P＜0.05),shorter surgical time than the anesthesia group(P＜0.05),and greater neonatal body weight than the anesthesia group(P＜0.05).For patients with cervical length≥10 mm,the non anesthesia group had a shorter surgical time than the anesthesia group(P＜0.05),a higher rate of vaginal delivery than the anesthesia group(P＜0.05),a lower rate of premature delivery than the anesthesia group(P＜0.05),and a lower rate of transferring to NICU after delivery than the anesthesia group(P＜0.05).Conclusion:For patients undergoing McDonald surgery,non-anesthesia state has certain advantages,and can shorten the surgical time,reduce the expense,and help to reduce the incidence rate of premature birth and improve the neonatal out-comes.关键词
宫颈机能不全/经阴道宫颈环扎术/麻醉状态/非麻醉状态/母婴结局Key words
Cervical insufficiency/Transvaginal cervical cerclage/Anesthesia state/Non-anesthesia state/Maternal-infant out-comes分类
临床医学引用本文复制引用
叶旭彬,陈艳雅,郭晓玲..不同麻醉状态下孕期经阴道宫颈环扎术对患者母婴结局的影响观察[J].川北医学院学报,2025,40(6):727-731,5.基金项目
广东省医学科学技术研究基金项目(A2021085) （A2021085）
