中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
79-80,83
,共3页
分娩方法%足月妊娠临产%胎儿窘迫
分娩方法%足月妊娠臨產%胎兒窘迫
분면방법%족월임신임산%태인군박
Delivery method%Full-term pregnancy in labor%Fetal distress
目的：探讨不同分娩方法对足月妊娠临产胎儿窘迫的影响。方法选择2011年8月~2014年9月在本院进行分娩的足月妊娠临产产妇120例，根据分娩方式的不同分为剖宫产组40例与自然分娩组80例，观察两组的胎儿窘迫发生情况，同时对新生儿预后情况进行检测与记录。结果剖宫产组发生胎儿窘迫6例，发生率为15.0%；自然分娩组发生胎儿窘迫3例，发生率为3.8%，都顺利转剖宫产。自然分娩组的胎儿窘迫发生率明显低于剖宫产组(P<0.05)。自然分娩组新生儿体重明显重于剖宫产组，血清CK和CK-MB浓度明显低于剖宫产组(P<0.05)。自然分娩组的分娩满意度为98.8%，剖宫产组为80.0%，自然分娩组的分娩满意度明显高于剖宫产组(P<0.05)。结论相对于剖宫产，自然分娩能降低足月妊娠临产胎儿窘迫的发生率，提高新生儿出生体重及分娩满意度，其作用可能与降低血清CK和CK-MB浓度有关。
目的：探討不同分娩方法對足月妊娠臨產胎兒窘迫的影響。方法選擇2011年8月~2014年9月在本院進行分娩的足月妊娠臨產產婦120例，根據分娩方式的不同分為剖宮產組40例與自然分娩組80例，觀察兩組的胎兒窘迫髮生情況，同時對新生兒預後情況進行檢測與記錄。結果剖宮產組髮生胎兒窘迫6例，髮生率為15.0%；自然分娩組髮生胎兒窘迫3例，髮生率為3.8%，都順利轉剖宮產。自然分娩組的胎兒窘迫髮生率明顯低于剖宮產組(P<0.05)。自然分娩組新生兒體重明顯重于剖宮產組，血清CK和CK-MB濃度明顯低于剖宮產組(P<0.05)。自然分娩組的分娩滿意度為98.8%，剖宮產組為80.0%，自然分娩組的分娩滿意度明顯高于剖宮產組(P<0.05)。結論相對于剖宮產，自然分娩能降低足月妊娠臨產胎兒窘迫的髮生率，提高新生兒齣生體重及分娩滿意度，其作用可能與降低血清CK和CK-MB濃度有關。
목적：탐토불동분면방법대족월임신임산태인군박적영향。방법선택2011년8월~2014년9월재본원진행분면적족월임신임산산부120례，근거분면방식적불동분위부궁산조40례여자연분면조80례，관찰량조적태인군박발생정황，동시대신생인예후정황진행검측여기록。결과부궁산조발생태인군박6례，발생솔위15.0%；자연분면조발생태인군박3례，발생솔위3.8%，도순리전부궁산。자연분면조적태인군박발생솔명현저우부궁산조(P<0.05)。자연분면조신생인체중명현중우부궁산조，혈청CK화CK-MB농도명현저우부궁산조(P<0.05)。자연분면조적분면만의도위98.8%，부궁산조위80.0%，자연분면조적분면만의도명현고우부궁산조(P<0.05)。결론상대우부궁산，자연분면능강저족월임신임산태인군박적발생솔，제고신생인출생체중급분면만의도，기작용가능여강저혈청CK화CK-MB농도유관。
Objective To explore affect of different delivery methods on fetal distress of full-term pregnancy in labor. Methods 120 cases of full term pregnancy women in our hospital from August 2011 to September 2014 were selected and divided into cesarean section group of 40 cases and spontaneous delivery group of 80 cases according to the dif-ferent modes of delivery.The incidence of fetal distress was observed between two groups.While the prognosis of new-born was detected and recorded. Results Cesarean section group had six cases of fetal distress,the incidence rate was 15.0%;natural childbirth group had three cases of fetal distress,the incidence rate was 3.8%,had successfully transferred cesarean section.Incidence rate of fetal distress in natural childbirth group was significantly lower than that in cesarean section group(P<0.05).Newborn’s birth weight in natural childbirth group was significantly heavier than that in cesarean section group (P<0.05).Serum CK and CK-MB level in natural childbirth group was significantly lower than that in ce-sarean section group respectively (P<0.05).The childbirth satisfaction rate in natural childbirth group was 98.8%,the childbirth satisfaction rate in cesarean section group was 80.0%.The childbirth satisfaction rate in natural childbirth group was significantly higher than that in cesarean section group(P<0.05). Conclusion Compared with cesarean,natural childbirth term pregnancy and labor can reduce the incidence rate of fetal distress,improve birth weight,its effect may be related to decreased serum CK and CK-MB level.
