CAJ | 학술논문

目的：探讨巨大儿的不同分娩方式对造成母婴并发症的影响及防范措施。方法回顾性分析长桥人民医院2008年01月～2011年12月230例出生为巨大儿的临床资料。根据其不同的分娩方式造成的母婴并发症进行分组，并进行分析，寻找降低巨大儿并发症的防护措施。结果阴道顺产组、阴道助产组、剖宫产组新生儿并发症发生率分别为14.46%、75.00%、2.22%，主要并发症有肩难产、窒息、锁骨骨折、臂丛神经损伤等，差异有统计学意义（P＜0.01）；产妇并发症发生率分别为25.3%、100%、2.96%，主要并发症有产道损伤、产后出血及产后感染等，差异有统计学意义（P＜0.01）。结论阴道分娩组（尤其是助产组）造成母婴的并发症远高于剖宫产组。故对分娩前诊断为巨大儿者，建议选择剖宫产术来降低母婴并发症。
목적：탐토거대인적불동분면방식대조성모영병발증적영향급방범조시。방법회고성분석장교인민의원2008년01월～2011년12월230례출생위거대인적림상자료。근거기불동적분면방식조성적모영병발증진행분조，병진행분석，심조강저거대인병발증적방호조시。결과음도순산조、음도조산조、부궁산조신생인병발증발생솔분별위14.46%、75.00%、2.22%，주요병발증유견난산、질식、쇄골골절、비총신경손상등，차이유통계학의의（P＜0.01）；산부병발증발생솔분별위25.3%、100%、2.96%，주요병발증유산도손상、산후출혈급산후감염등，차이유통계학의의（P＜0.01）。결론음도분면조（우기시조산조）조성모영적병발증원고우부궁산조。고대분면전진단위거대인자，건의선택부궁산술래강저모영병발증。
Objective To investigate the impact and preventive measures of fetal macrosomias with different modes of delivery on the maternal complication.Methods A retrospective study was conducted on clinical data of 230 fetal macrosomias in Changqiao People’s Hospital from January 2008 to December 2011.Results The incidence rate of neonatal complication in vagina delivery group,vagina midwifery group and cesarean section group are 14.46%,75.00% and 2.22%,and the main complications are shoulder dystocia,fetal distress,fracture of the clavicle,brachial plexus injury and etc.,in which the differences are statistically significant(P<0.01).The incidence rate of maternal complication are 25.3%,100%and 2.96%,and the main complications are birth canal injury,postpartum hemorrhage and postpartum infection,in which the differences are statistically significant(P<0.01).Conclusion The incidence of maternal complication in vagina delivery group(especially vagina midwifery grope),is much higher than the cesarean section group.So it is recommended to choose caesarean section to reduce the maternal complication if it is diagnosed to be fetal macrosomia before delivery.