Comparison of the effect of abdominal transverse incision and longitudinal incision of lower uterine cesarean section / 中国基层医药

ABSTRACT

Objective To investigate the effect of modified abdominal transverse incision and longitudinal incision of lower uterine cesarean section.Methods 50 cases of cesarean section pregnant women were selected from December 2012 to January 2014 in TCMhospital of Dongming.They were divided into the observation group(546 cases) and the control group(104 cases)according to the list of numbers.The control group underwent abdominal longitudinal incision of lower uterine cesarean section,while the observation group underwent modified abdominal transverse incision cesarean section.The intraoperative blood loss,tire taking time,average operation time,postoperative exhaust recovery time,neonatal birth weight and Apgar score,and postoperative adverse reaction of the two groups were compared.Results (1 )The intraoperative blood loss,average fetal time,operation time and postoperative exhaust recovery time of the observation group were shorter than the control group,the differences between the two groups were statistically significant (t1 =5.938,t2 =5.427,t3 =4.874,t4 =6.018,all P <0.05);(2)The postoperative pain occurrence rate in the observation group was 32.60%,which was significantly lower than 55.77% in the control group,the difference was statistically significant (χ2 =9.309,P <0.05).The hematuria incidence rate of the observation group was 2.01%,which was significantly lower than 6.73% of the control group,the difference was statistically significant (χ2 =8.213,P <0.05 ).The incision extending crack occurrence rate of the observation group was 4.03%,which was significantly lower than 11.54% of the control group,the difference was statistically significant (χ2 =9.309,P <0.05 ).(3)The neonatal weight[(3 421.4 ±115.6)g]and Apgar neonates score [(9.49 ± 0.15)points]of the observation group were lower than the control group,the differences between the two groups were statistically significant (t5 =5.129,t6 =4.872,all P <0.05).Conclusion Modified abdominal transverse incision cesarean section has a better clinical curative effect than the longitudinal incision of lower uterine cesarean section, with less adverse reaction,which is safe,reliable and worthy of clinical application.