摘要
目的：探讨截石位配合助手上推胎头在胎头低位剖宫产术中的临床应用效果。方法：选取2009年1月～2011年12月在南昌市第三医院因胎头低位（胎先露超过坐骨棘下1．5cm）行剖宫产术终止妊娠时采用截石位配合助手上推胎头的40例产妇为观察组，采用平卧位配合助手上推胎头的40例产妇为对照组，比较两种体位对剖宫产术中手术时间、胎头娩出时间、子宫切口延裂发生率、术中出血量、术后切口愈合率及新生儿窒息率的影响。结果：与对照组相比观察组明显缩短了手术时间、降低了子宫切口延裂的发生率、减少了剖宫产术中的出血量、术后切口感染及新生儿窒息的发生率也明显减少。结论：胎头低位剖宫产术时采用截石位配合助手上推胎头的方法简单、方便、经济、有效，可安全、快速娩出胎儿，减少母婴并发症，值得在临床上应用推广。
Objective： To discuss the effect of lithotomy position combining with pushing on fetal head in cesarean section. Methods： From Jan. 2009 to Dec. 2011 in our hospital, 40 cases who used cesarean section to terminate pregnancy when fetal pres- entation was very low （ fetal presentation ≥S ＋ 1.5 ） were collected as observation group, lithotomy position combining with pushing on fetal head were applied in observation group, the traditional horizontal supine position were used in control group. In both groups, the effects of the operating time, the fetal head delivery time , the degree of uterine incision tear , peri - opemtiye bleeding and postoperative incision healing, neonatal suffocation were compared. Results： Compared to control group, observation group had shorter operating time, lower incidence rate of uterine incision tear, postoperative incision infection and neonatal suffocation , lesser cesarean section peri - operative bleeding. Conclusion： Lithotomy position combined with pushing on fetal head is simple, convenient, economical and effective, it is helpful to deliver the fetus safely and quickly, reduce maternal complications, it is worthy of clinical application.
出处
《中国妇幼保健》
CAS
北大核心
2013年第36期6060-6062,共3页
Maternal and Child Health Care of China
关键词
剖宫产
截石位
平卧位
Cesarean section
Lithotomy position
Horizontal supine position
