Schauberger C W, Rooney B L, Beguin E A, Schaper A M, Spindler J
Department of Obstetrics and Gynecology, Gundersen Clinic, Limited, La Crosse, WI 54601.
J Am Coll Surg. 1994 Aug;179(2):151-5.
This study was done to evaluate what percent of emergency cesarean sections are begun within the 30 minute interval between decision and incision time and to evaluate morbidity associated with this time interval.
A retrospective patient-control study of records from 75 patients undergoing emergency cesarean sections and two different control groups was undertaken.
Sixty-three percent of emergency cesarean sections were begun in less than 30 minutes. A significantly greater number of infants in the group that delivered in less than 30 minutes experienced five minute Apgar scores less than six. There was no significant differences in maternal morbidity associated with emergency cesarean sections.
The 30 minute interval is obtainable in a large number of patients but did not have a beneficial effect on neonatal morbidity. There was no significant morbidity seen in the patients who underwent emergency cesarean section. Other measurements of emergency preparedness should be considered other than the 30 minute rule.
本研究旨在评估急诊剖宫产在决定手术至切开皮肤的30分钟间隔内开始的比例，并评估与该时间间隔相关的发病率。
对75例行急诊剖宫产的患者记录以及两个不同对照组进行回顾性病例对照研究。
63%的急诊剖宫产在30分钟内开始。在30分钟内分娩的组中，有显著更多的婴儿5分钟阿氏评分低于6分。急诊剖宫产相关的产妇发病率无显著差异。
大量患者能够在30分钟间隔内完成手术，但这对新生儿发病率没有有益影响。接受急诊剖宫产的患者未出现显著的发病率。除了30分钟规则外，应考虑其他衡量应急准备情况的指标。
