CAJ | 학술논문

目的：分析经阴道分娩施行低位产钳助产对母婴的影响，探讨有效施行低位产钳助产是否会增加母婴已存在的风险。方法：回顾性分析于笔者所在医院经阴道分娩进行低位产钳助产的52例产妇的临床资料，分析施行低位产钳助产对母婴预后的影响。结果：52例均经阴道施行低位产钳助产顺利分娩，发生轻度窒息4例，重度窒息2例；新生儿头颅血肿10例，第二产程延长发生头颅血肿率高(P<0.05)。产后出血8例，宫缩乏力及第二产程延长发生率高(P<0.05)。产妇会阴侧剪基础上并发软产道裂伤5例，宫缩乏力及第二产程延长发生率高(P<0.05)；会阴伤口甲级愈合51例，会阴伤口愈合不良1例。结论：掌握施行低位产钳助产对母婴较为安全，具有操作简单快捷，损伤小，是目前较好的经阴道分娩的助产方法。
목적：분석경음도분면시행저위산겸조산대모영적영향，탐토유효시행저위산겸조산시부회증가모영이존재적풍험。방법：회고성분석우필자소재의원경음도분면진행저위산겸조산적52례산부적림상자료，분석시행저위산겸조산대모영예후적영향。결과：52례균경음도시행저위산겸조산순리분면，발생경도질식4례，중도질식2례；신생인두로혈종10례，제이산정연장발생두로혈종솔고(P<0.05)。산후출혈8례，궁축핍력급제이산정연장발생솔고(P<0.05)。산부회음측전기출상병발연산도렬상5례，궁축핍력급제이산정연장발생솔고(P<0.05)；회음상구갑급유합51례，회음상구유합불량1례。결론：장악시행저위산겸조산대모영교위안전，구유조작간단쾌첩，손상소，시목전교호적경음도분면적조산방법。
Objective:Analysis by vaginal delivery of low forceps midwifery impact on maternal and infant, investigate the low effective forceps midwifery would increase the risk of maternal and infant had been in existence.Method: In the author’s hospital were retrospectively analyzed by vaginal delivery were low forceps midwifery, the clinical data of 52 cases of maternal analysis of low forceps midwifery effects on mcaternal and infant prognosis.Result:Enforcement of 52 cases were transvaginal low forceps midwifery easy childbirth, mild asphyxia (4 cases), severe asphyxia in 2 cases; the second 10 cases of neonatal head haematoma, prolonged labor, high head haematoma rate (P<0.05). Postpartum hemorrhage in 8 cases, high contractions fatigue and the second prolonged labor rate (P<0.05). Based on the maternal side of perineum cut and soft birth canal laceration in 5 cases, contractions fatigue and second high prolonged labor rate (P<0.05). Perineum wounds healed at the first 51 cases, perineum wound healing in 1 case.Conclusion: The Low-Forceps Delivery (LFD) was much safer for both mothers and children. Since the operation of LFD is relatively simple and it would bring little harms, it is considered to be a good way for vaginal delivery currently.