国际生殖健康计划生育杂志201306
國際生殖健康計劃生育雜誌201306
국제생식건강계화생육잡지201306
Journal of International Reproductive Health/Family Planning
2013年
6期
462-463,467
,共3页
周晓珍%金云兰%娄甜平
週曉珍%金雲蘭%婁甜平
주효진%금운란%루첨평
剖宫产术,再%产钳%窒息,新生儿%分娩并发症
剖宮產術,再%產鉗%窒息,新生兒%分娩併髮癥
부궁산술,재%산겸%질식,신생인%분면병발증
Cesarean section,repeat%Obstetrical forceps%Asphyxia neonatorum%Obstetric labor complications
目的：探讨产钳在再次剖宫产时协助胎头娩出的临床应用价值。方法：回顾分析2006年1月-2012年12月244例再次剖宫产胎头娩出困难患者，其中产钳协助胎头娩出（观察组）122例，未采用产钳助娩（对照组）122例。分析2组子宫切开至胎儿娩出时间（U-DI），产后出血量，新生儿窒息、新生儿头皮外伤、子宫切口撕裂的发生率。结果：观察组U-DI和产后出血量低于对照组（均P＜0.05），新生儿轻度窒息、新生儿重度窒息、新生儿头皮外伤、子宫切口撕裂发生率小于对照组（均P＜0.05）。结论：再次剖宫产徒手助胎头娩出困难时及时应用产钳协助胎头娩出，能有效缩短U-DI，降低新生儿窒息发生率，减少母婴损伤，是一种安全、有效、可行的方法。
目的：探討產鉗在再次剖宮產時協助胎頭娩齣的臨床應用價值。方法：迴顧分析2006年1月-2012年12月244例再次剖宮產胎頭娩齣睏難患者，其中產鉗協助胎頭娩齣（觀察組）122例，未採用產鉗助娩（對照組）122例。分析2組子宮切開至胎兒娩齣時間（U-DI），產後齣血量，新生兒窒息、新生兒頭皮外傷、子宮切口撕裂的髮生率。結果：觀察組U-DI和產後齣血量低于對照組（均P＜0.05），新生兒輕度窒息、新生兒重度窒息、新生兒頭皮外傷、子宮切口撕裂髮生率小于對照組（均P＜0.05）。結論：再次剖宮產徒手助胎頭娩齣睏難時及時應用產鉗協助胎頭娩齣，能有效縮短U-DI，降低新生兒窒息髮生率，減少母嬰損傷，是一種安全、有效、可行的方法。
목적：탐토산겸재재차부궁산시협조태두면출적림상응용개치。방법：회고분석2006년1월-2012년12월244례재차부궁산태두면출곤난환자，기중산겸협조태두면출（관찰조）122례，미채용산겸조면（대조조）122례。분석2조자궁절개지태인면출시간（U-DI），산후출혈량，신생인질식、신생인두피외상、자궁절구시렬적발생솔。결과：관찰조U-DI화산후출혈량저우대조조（균P＜0.05），신생인경도질식、신생인중도질식、신생인두피외상、자궁절구시렬발생솔소우대조조（균P＜0.05）。결론：재차부궁산도수조태두면출곤난시급시응용산겸협조태두면출，능유효축단U-DI，강저신생인질식발생솔，감소모영손상，시일충안전、유효、가행적방법。
Objective:To evaluate the clinical value of the obstetric forceps in the assisted deliver of fetal head during repeat cesarean section, by our clinical practice. Methods:244 puerpera cases who have difficulties to deliver fetal head during the repeat cesarean section were retrospectively analyzed, in our hospital from January 2006 to December 2012. Those 122 cases who treated with the obstetric forceps to assist during delivering fetal head were appointed as the observation group, while other 122 cases who treated without the obstetric forceps were appointed as the control group. The U-DI,case of neonatal asphyxia,neonatal scalp trauma and uterine incision tear,and the volume of postpartum hemorrhage were analyzed. Results:U-DI in the observation group was significantly shorter than that in the control group (P<0.05). The case of neonatal asphyxia,neonatal scalp trauma and the mean volume of postpartum hemorrhage in the observation group were significantly less than those in the control group (P<0.05). The case of uterine incision tear in the observation group was less than that in the control group (P<0.05). Conclusions:The application of obstetric forceps in the assisted deliver of fetal head during the repeat cesarean section can effectively shorten the U-DI ,reduce the incidence of neonatal asphyxia, and reduce the damage to maternal and child. It is a safety,effective and practicable method.
