中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
8期
130-131,132
,共3页
罗运红%谢淑玲%黄顺兰%李蒙
囉運紅%謝淑玲%黃順蘭%李矇
라운홍%사숙령%황순란%리몽
彩色超声检查%脐带绕颈%助产干预%分娩方式%产后护理
綵色超聲檢查%臍帶繞頸%助產榦預%分娩方式%產後護理
채색초성검사%제대요경%조산간예%분면방식%산후호리
Color doppler ultrasound%Umbilical cord around neck%Midwifery intervention%Mode of delivery%Postpartum care
目的：对彩超在脐带绕颈分娩前助产干预以及产后护理中的指导作用进行分析和探讨。方法：选取本院收治的436名脐带绕颈产妇作为研究对象，按照入院的先后顺序将216名产妇作为观察组（干预组），220名产妇作为对照组（非干预组），在分娩前对两组孕妇进行彩超检查均确诊为脐带绕颈，观察组产妇根据彩超检查结果制定相应的干预措施，对照组不干预，观察和记录两组孕妇的分娩方式、胎儿窘迫发生率以及新生儿出生后的Apgar评分。结果：经过助产干预，观察组93.5%选择自然分娩，14.4%孕妇出现宫内窘迫；对照组49.5%选择自然分娩，30.9%孕妇出现宫内窘迫，两组比较差异均有统计学意义（P<0.05）。观察组新生儿的Apgar评分高于7分的有83.8%，对照组高于7分的有45.9%，两组比较差异有统计学意义（P<0.05）。结论：彩超应用于脐带绕颈分娩前助产干预和产后护理指导中，能够有效减少孕妇痛苦、降低剖腹宫产率，对于优生优育具有重要意义，建议在妇产科未来的发展中推广使用。
目的：對綵超在臍帶繞頸分娩前助產榦預以及產後護理中的指導作用進行分析和探討。方法：選取本院收治的436名臍帶繞頸產婦作為研究對象，按照入院的先後順序將216名產婦作為觀察組（榦預組），220名產婦作為對照組（非榦預組），在分娩前對兩組孕婦進行綵超檢查均確診為臍帶繞頸，觀察組產婦根據綵超檢查結果製定相應的榦預措施，對照組不榦預，觀察和記錄兩組孕婦的分娩方式、胎兒窘迫髮生率以及新生兒齣生後的Apgar評分。結果：經過助產榦預，觀察組93.5%選擇自然分娩，14.4%孕婦齣現宮內窘迫；對照組49.5%選擇自然分娩，30.9%孕婦齣現宮內窘迫，兩組比較差異均有統計學意義（P<0.05）。觀察組新生兒的Apgar評分高于7分的有83.8%，對照組高于7分的有45.9%，兩組比較差異有統計學意義（P<0.05）。結論：綵超應用于臍帶繞頸分娩前助產榦預和產後護理指導中，能夠有效減少孕婦痛苦、降低剖腹宮產率，對于優生優育具有重要意義，建議在婦產科未來的髮展中推廣使用。
목적：대채초재제대요경분면전조산간예이급산후호리중적지도작용진행분석화탐토。방법：선취본원수치적436명제대요경산부작위연구대상，안조입원적선후순서장216명산부작위관찰조（간예조），220명산부작위대조조（비간예조），재분면전대량조잉부진행채초검사균학진위제대요경，관찰조산부근거채초검사결과제정상응적간예조시，대조조불간예，관찰화기록량조잉부적분면방식、태인군박발생솔이급신생인출생후적Apgar평분。결과：경과조산간예，관찰조93.5%선택자연분면，14.4%잉부출현궁내군박；대조조49.5%선택자연분면，30.9%잉부출현궁내군박，량조비교차이균유통계학의의（P<0.05）。관찰조신생인적Apgar평분고우7분적유83.8%，대조조고우7분적유45.9%，량조비교차이유통계학의의（P<0.05）。결론：채초응용우제대요경분면전조산간예화산후호리지도중，능구유효감소잉부통고、강저부복궁산솔，대우우생우육구유중요의의，건의재부산과미래적발전중추엄사용。
Objective:To analyze and discuss the color doppler ultrasound’s guidance of midwifery intervention and postpartum nursing in umbilical cord around before delivery. Method:A total of 436 umbilical cord around the neck of women in the hospital were chosen as the research object,according to the order of admission,436 cases of patients were divided into two groups. Use the color doppler ultrasound check the two pregnant women before delivery,everyone was diagnosed as umbilical cord around the neck. The observation group(intervention group)216 cases of patients were made appropriate intervention measures based on the color doppler ultrasound examination results. The control group(non intervention group) 220 cases of patients were received no intervention,fetal childbirth way,the incidence of fetal distress,and incidence of neonatal Apgar score were observe and record. Result:The natural childbirth rate and intrauterine distress occurrence rate of the control group were 49.5%and 30.9%while the observation group were 93.5%and 14.4%after treatment,and the difference between the two groups were all statistically significant(P<0.05). The neonatal Apgar score bigger than seven of the observation group was 83.8%which significantly higher than the control group of 45.9%(P<0.05). Conclusion:Color doppler ultrasound use in the guidance of midwifery intervention and postpartum nursing in umbilical cord around before delivery,it can effectively reduce maternal pain,reducing the rate of caesarean,and have important significance for Eugenics,we recommend to use it in the future development of gynaecology and obstetrics.
