摘要
目的探究产钳在头位困难剖宫产术中的应用价值,为降低母婴并发症发生率,保证母婴健康提供理论依据。方法选取该院2015年1月-2016年12月行择期剖宫产术产妇120例作为研究对象,所有产妇因胎头高浮、低位横切口瘢痕子宫或过度肥胖致胎头娩出困难。根据随机数字表法将产妇分为观察组和对照组,每组各60例,对照组实施传统子宫下段横切口剖宫产术,观察组在此基础上给予产钳助产。记录两组新生儿娩出时间、出生1 min Apgar评分、窒息发生率及头面部损伤情况,比较两组产妇术中及术后24 h出血量和子宫切口延裂情况。结果所有胎儿顺利娩出,观察组新生儿娩出时间、新生儿出生1 min Apgar评分、新生儿窒息及头面部损伤发生率等均优于对照组(均P<0.05),产妇术中及术后24 h出血量和子宫切口延裂的发生率均低于对照组(均P<0.05)。结论在择期剖宫产术中如为胎头高浮、低位横切口瘢痕子宫及过度肥胖孕妇,应用产钳助娩胎头不仅缩短胎儿娩出时间,而且大大降低胎儿及产妇出现并发症的风险。
Objective To explore the application value of obstetric forceps for patients having difficulty in delivering head of fetus during cesarean section, provide a theoretical basis for reducing the incidence rates of maternal and infant complications and ensure maternal and chihl health. Methods A total of 120 pregnant women undergoing selective cesarean section in Maternal and Child Health Care Hospital of Huangpu Distriet from January 2015 to December 2016 were selected, all the womeu had difficulty in delivering head of fetus due to high position fetal head, low incision scarred uterus, or obesity, then they were divided into observation group and control group according to random number table, 60 women in each group. The women in eoutrul group underwent traditional transverse incision of lower uterine segment cesarean section, and the women in observation group underwent toreeps delivery. The delivery time, une-minute Apgar scores, and the incidence rates of asphyxia and scalp and tacial injury in the two groups were recorded. The amounts of hemorrhage during operation and at 24 hours af- ter operation and disruption of uterine incision in the two groups were compared. Results All the fetuses were delivered successfully. The delivery time, one-minute Apgar score, and the incidence rates of asphyxia and scalp and facial injury in observation group were statistically significantly better than those in control group （all P〈0. 05） . The amounts of In, morrhage during operation and at 24 hours after operation and the incidenee rate of disruption of uterine incision in observation group were statistically significantly lower than thuse in control group （all P〈0. 05） . Conclusion Forceps delivery can not only shorten delivery time, but also significantly reduce maternal and fetal risks in the pregnant women having difficuhy in delivering head of fetus due to high position fetal head, low incision scarred uterus, or ubesity.
出处
《中国妇幼保健》
CAS
2017年第23期5885-5887,共3页
Maternal and Child Health Care of China
关键词
困难剖宫产术
产钳
娩头困难
Diffic.uh cesarean section
Obstetric forceps
Difficulty in head delivery
