中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
1期
75-76
,共2页
巨大儿%分娩方式%临床疗效
巨大兒%分娩方式%臨床療效
거대인%분면방식%림상료효
Macrosomia%Delivery mode%Curative effect
目的：分析近年来我院巨大儿分娩的临床特点及分娩方式，降低母婴并发症，改善巨大儿的预后，保护母婴健康。方法：回顾性分析52例巨大儿及52例正常范围内足月儿分娩的资料。结果：巨大儿的发生与母亲孕末期体重、宫高、妊娠糖尿病等因素有关。巨大儿组持续性枕横或枕后位、胎儿窘迫、剖宫产、新生儿窒息等发生率高于对照组(P＜0.05)，而在宫缩乏力、产道裂伤发生等方面差异无统计学意义(P＞0.05)。结论：采取积极措施，降低巨大儿的发生率。对巨大儿应积极做好产前诊断，适当放宽剖宫产指征，降低母婴并发症的发生。
目的：分析近年來我院巨大兒分娩的臨床特點及分娩方式，降低母嬰併髮癥，改善巨大兒的預後，保護母嬰健康。方法：迴顧性分析52例巨大兒及52例正常範圍內足月兒分娩的資料。結果：巨大兒的髮生與母親孕末期體重、宮高、妊娠糖尿病等因素有關。巨大兒組持續性枕橫或枕後位、胎兒窘迫、剖宮產、新生兒窒息等髮生率高于對照組(P＜0.05)，而在宮縮乏力、產道裂傷髮生等方麵差異無統計學意義(P＞0.05)。結論：採取積極措施，降低巨大兒的髮生率。對巨大兒應積極做好產前診斷，適噹放寬剖宮產指徵，降低母嬰併髮癥的髮生。
목적：분석근년래아원거대인분면적림상특점급분면방식，강저모영병발증，개선거대인적예후，보호모영건강。방법：회고성분석52례거대인급52례정상범위내족월인분면적자료。결과：거대인적발생여모친잉말기체중、궁고、임신당뇨병등인소유관。거대인조지속성침횡혹침후위、태인군박、부궁산、신생인질식등발생솔고우대조조(P＜0.05)，이재궁축핍력、산도렬상발생등방면차이무통계학의의(P＞0.05)。결론：채취적겁조시，강저거대인적발생솔。대거대인응적겁주호산전진단，괄당방관부궁산지정，강저모영병발증적발생。
Objective:To analyze the clinical characteristics and delivery mode of macrosomia in our hospital in recent years and reduce the maternal complications and improve the prognosis of macrosomia to protect the maternal and child health.Methods:The information of 52 cases with macrosomia and 52 cases with full term birth was analyzed retrospectively.Results:The occurrence of macrosomia had relationship with the late pregnancy weight of maternal,fundal height,gestational diabetes and other factors.The incidence rates of persistent transverse occipital or occipitoposterior position,fetal distress,cesarean section and neonatal asphyxia in the macrosomia group were higher than that of the control group(P<0.05),while there was no significant difference of uterine inertia and birth canal laceration(P>0.05).Conclusion:The active measures can reduce the incidence of macrosomia.The active prenatal diagnosis of macrosomia and relaxing the indications of cesarean section appropriately can reduce the incidence of maternal and infant complications.
