摘要
目的探讨头位难产改剖宫产术中胎足牵引的临床应用价值。方法选择2015年5月~2016年5月在我院分娩发生头位性难产、宫口近全开或已经全开的65例产妇为研究对象,采用随机数字表法将其分为A、B两组。A组33例产妇术中由助手经阴道上顶胎头部娩出胎儿,B组32例产妇术中采用胎足牵引娩出胎儿,比较两组产妇及胎儿并发症的发生率。结果 B组产妇的手术效果明显优于A组,且B组新生儿窒息、颅内出血及产妇子宫切口撕裂、术后感染、晚期术后出血等并发症的发生率明显低于A组,差异有统计学意义(P<0.05)。结论头位难产改剖宫产术中胎足牵引能够有效提升手术效果,降低不良妊娠结局及术后并发症的发生率,保证新生儿及产妇的生命安全,值得推广应用。
Objective To explore the clinical application value of fetal foot traction in head presentation dystocia and changed to cesarean section.Methods From May 2015 to May 2016, 65 maternal who with cephalic dystocia but uterine orifice nearly all open or fully open and delivered in our hospital were selected as study the objects,and they were divided into group A and group B by using random number table.33 patients in group A delivered the fetus by the assistant on the top of the head of the vagina,and the fetal foot traction was carried in 32 maternal of the group B during the operation.The incidence of maternal and fetal complications between the two groups were compared.Results The operation effect in group B was obvious better than group A.The complications of asphyxia neonatornm,intracranial hemorrhage, laceration of uterus,postoperative infection,late postoperative hemorrhage in group B were obvious lower than those in group A,and the difference was significant （P〈0.05）.Condusion Fetal foot traction in head presentation dystoeia and changed to cesarean section can improve the operation effect,reduce the incidence of adverse pregnancy outcomes and postoperative complications,ensure the safety of newborns and mothers and worthy of popularization and application.
出处
《中国当代医药》
2017年第12期72-74,共3页
China Modern Medicine
基金
江西省赣州市指导性科技计划项目(GZ2016ZSF337)
关键词
头位难产
剖宫产
胎足牵引
Head presentation dystocia
Cesarean section
Fetal foot traction
