CAJ | 학술논문

目的：探讨分析导致临床上阴道试产中转剖宫产的原因以及相关性影响因素。方法以在我院妇产科生产且均为阴道试产中转剖宫产的65例产妇以及54例顺产产妇作为研究对象，将其分为观察组和对照组，观察组65例，对照组54例，对所有产妇的病历资料均采用回顾性的方法进行分析，了解产妇阴道试产中转剖宫产的相关因素。结果对比两组患者的情况，以上65例阴道试产产妇在生产过程中改为剖宫产的影响因素主要包括了产妇的成产次数、年龄、胎儿体重、产程停滞、产程延长、胎儿窘迫、疤痕子宫、产妇耐受力差、头盆不称、助产人员技术水平问题以及妊娠期合并症等。结论产妇在生产之前，必须对头盆的关系进行准确地评估，同时对产程进行严密的观察，对产程中发生的异常情况进行综合性处理，对阴道试产以及剖宫产的指征进行全面的掌握，这样能够将产中中转的几率大大降低，促进产科并发症的降低。
목적：탐토분석도치림상상음도시산중전부궁산적원인이급상관성영향인소。방법이재아원부산과생산차균위음도시산중전부궁산적65례산부이급54례순산산부작위연구대상，장기분위관찰조화대조조，관찰조65례，대조조54례，대소유산부적병력자료균채용회고성적방법진행분석，료해산부음도시산중전부궁산적상관인소。결과대비량조환자적정황，이상65례음도시산산부재생산과정중개위부궁산적영향인소주요포괄료산부적성산차수、년령、태인체중、산정정체、산정연장、태인군박、파흔자궁、산부내수력차、두분불칭、조산인원기술수평문제이급임신기합병증등。결론산부재생산지전，필수대두분적관계진행준학지평고，동시대산정진행엄밀적관찰，대산정중발생적이상정황진행종합성처리，대음도시산이급부궁산적지정진행전면적장악，저양능구장산중중전적궤솔대대강저，촉진산과병발증적강저。
Objective To study and analyze the cause of clinical vaginal trial production transfer cesarean delivery and the correlation factors.Methods Selecting 65 cases with vaginal trial production transfer cesarean delivery and 54 eutocia puerperas during 2012-01-01~2013-01-01 as the research subjects , and dividing them into the observation group and the control group .65 cases were in the obser-vation group and 54 cases were in the control group .Retrospective method was used to analyze the puerperas′medical record to understand the related factors of aginal trial production transfer cesarean delivery .Results Through the comparison of the patients in the two groups , the main influence factors of the 65 women vaginal trial production in the process of production to cesarean section include the maternal number, age, fetal weight, stagnation of labor, prolonged labor, fetal distress, scar uterus, maternal tolerance, poor head basin, the prob-lems of midwives technology level and pregnancy complications , etc.Conclusion Before maternal production , the relationship adversary basin must be accurately evaluated , at the same time observation of labor should be restricted , to comprehensively grasp the indications of vaginal trial production and cesarean delivery , to reduce the transfer rate , and to decrease obstetric complications .