摘要
目的探讨经会阴超声在产程中的临床应用效果。方法60例经阴道试产产妇,随机分为对照组及观察组,每组30例。对照组产妇宫口开3 cm送入分娩室,医生、助产士按传统分娩模式进行产程观察,发现产程异常再进行处理;观察组在整个产程中进行常规阴道内诊的同时,行经会阴超声检查。比较两组产妇的分娩结局,包括产后出血量、新生儿Apgar评分、阴道分娩、剖宫产、器械助产、产后感染、新生儿窒息发生情况。结果观察组产妇的阴道分娩率90.00%高于对照组的60.00%,剖宫产率10.00%、器械助产率3.33%低于对照组的40.00%、20.00%,差异具有统计学意义(P<0.05)。观察组产妇的产后出血量为(386.25±60.25)ml、新生儿Apgar评分为(8.63±1.53)分、产后感染率为6.67%、新生儿窒息率为0,与对照组的(394.52±56.26)ml、(7.96±1.58)分、20.00%、6.67%比较,差异无统计学意义(P>0.05)。结论在产程进展监测过程中应用经会阴超声检查具有显著的临床价值,可以提高产妇的阴道分娩率,降低剖宫产率,值得临床应用及推广。
Objective To discuss the clinical effect of transperineal ultrasound in labor.Methods A total of 60 cases of vaginal trial production were randomly divided into control group and observation group,with 30 cases in each group.In the control group,the pregnant women were sent to the delivery room with a 3 cm uterine opening.The doctors and midwives observed the labor process according to the traditional delivery mode,and dealt with them when they found abnormal labor.The observation group underwent routine intravaginal diagnosis and transperineal ultrasound examination throughout the labor process.The delivery outcomes of the two groups were compared,including postpartum hemorrhage,neonatal Apgar score,vaginal delivery,cesarean section,instrument-assisted delivery,postpartum infection,and occurrence of neonatal asphyxia.Results The vaginal delivery rate 90.00%of the observation group was higher than 60.00%of the control group,and cesarean section rate 10.00%and instrument-assisted delivery rate 3.33%were lower than 40.00%and 20.00%of the control group.All the difference was statistically significant(P<0.05).The postpartum hemorrhage(386.25±60.25)ml,neonatal Apgar score(8.63±1.53)points,postpartum infection rate 6.67%and neonatal asphyxia rate 0 of the observation group had no statistically significant difference compared with(394.52±56.26)ml,(7.96±1.58)points,20.00%and 6.67%of the control group(P>0.05).Conclusion The application of transperineal ultrasound has significant clinical value in monitoring of labor progress,which can increase the vaginal delivery rate and reduce the rate of cesarean section.It is worthy of clinical application and promotion.
作者
沈淑文
黄嘉莉
黄美嫦
言齐
SHEN Shu-wen;HUANG Jia-li;HUANG Mei-chang(Seventh People’s Hospital of Nanhai District(Yanbu Hospital),Foshan 528247,China)
出处
《中国实用医药》
2021年第20期56-59,共4页
China Practical Medicine
关键词
经会阴超声检查
分娩过程
产程进展监测
Transperineal ultrasound
Delivery process
Monitoring of labor progress
