CAJ | 학술논문

目的：探讨不同分娩方式对巨大儿妊娠结局的影响。方法随机选取2014年1月—2014年11月在该院住院分娩巨大儿的患者100例，回顾性分析剖宫产和阴道分娩对妊娠结局的影响。结果剖宫产组婴儿的出生体重1、5 min的apgar评分与阴道分娩组相比无明显差异。经产妇在阴道分娩组中所占的比例(38.30%)明显高于剖宫产组(3.77%)(P<0.05)。阴道分娩组发生难产的概率19.15%明显高于剖宫产组0.00%，差异有统计学意义(P<0.05)。结论对可疑巨大儿的患者，阴道试产是安全的，只要密切关注产程进展，积极处理，不会给母婴造成较大伤害。
목적：탐토불동분면방식대거대인임신결국적영향。방법수궤선취2014년1월—2014년11월재해원주원분면거대인적환자100례，회고성분석부궁산화음도분면대임신결국적영향。결과부궁산조영인적출생체중1、5 min적apgar평분여음도분면조상비무명현차이。경산부재음도분면조중소점적비례(38.30%)명현고우부궁산조(3.77%)(P<0.05)。음도분면조발생난산적개솔19.15%명현고우부궁산조0.00%，차이유통계학의의(P<0.05)。결론대가의거대인적환자，음도시산시안전적，지요밀절관주산정진전，적겁처리，불회급모영조성교대상해。
Objective To research the impact of different ways of delivery on macrosomia pregnancy outcome.Methods 100 patients of macrosomia who were hospitalized in our hospital from January 2014 to November 2014 were selected randomly . Ways of delivery,cesarean section or vaginal delivery was analyzed retrospectively to find if they had impact on the pregnancy outcome.Results There were no obvious differences in baby’s birth weight, 1 minutes, 5 minutes of apgar scores between the cesarean section group and the vaginal delivery group. The proportion of multipara in the vaginal delivery group(38.30%) was significantly higher than in the cesarean section group (3.77%) (P< 0.05). The incidence of dystocia in the vaginal delivery group (19.15%) was significantly higher than in the cesarean section group(0.00%)(P<0.05).Conclusion As to patients who were suspected of macrosomia, vaginal delivery was safe. If we paid close attention to the progress of labor and deal with it positively, there would not bring big damage to mother and baby.