中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
19期
54-56
,共3页
罗培英%陈伟%张颖%解左平
囉培英%陳偉%張穎%解左平
라배영%진위%장영%해좌평
剖宫产术%阴道助产术%足月妊娠%胎儿窘迫
剖宮產術%陰道助產術%足月妊娠%胎兒窘迫
부궁산술%음도조산술%족월임신%태인군박
Cesarean section%Vaginal midwifery%Full-term pregnancy%Fetal distress
目的：探讨足月妊娠临产胎儿窘迫发生因素及剖宫产术与阴道助产术干预效果。方法2012年10月~2013年10月期间我院接收的104例足月妊娠临产胎儿窘迫产妇随机分为观察组和对照组两组，各52例。对照组产妇均施以阴道助产术，观察组产妇均施以剖宫产术，对比分析两组的胎儿窘迫发生因素及母婴结局。结果两组胎儿窘迫发生因素(胎盘因素、脐带因素、母体因素、胎儿因素或羊水粪染等)比较，差异均无统计学意义(P>0.05)。观察组产后出血、新生儿窒息、缺血缺氧性脑病、胎儿生长受限、产褥感染及低蛋白血症的发生率分别为5.77%、5.77%、3.85%、1.92%、11.54%、9.62%，与对照组的9.62%、7.69%、5.77%、1.92%、7.69%、5.77%相比较，差异无统计学意义(P>0.05)。单因素Logistic回归分析结果显示，脐带、胎盘、胎儿、母体、羊水粪染均是胎儿窘迫的危险因素。两组中均未发生新生儿死亡结局。结论治疗足月妊娠临产胎儿窘迫应用剖宫产术与阴道助产术均能获得较好的母婴结局，应根据产妇具体情况而选择适当的分娩方式。
目的：探討足月妊娠臨產胎兒窘迫髮生因素及剖宮產術與陰道助產術榦預效果。方法2012年10月~2013年10月期間我院接收的104例足月妊娠臨產胎兒窘迫產婦隨機分為觀察組和對照組兩組，各52例。對照組產婦均施以陰道助產術，觀察組產婦均施以剖宮產術，對比分析兩組的胎兒窘迫髮生因素及母嬰結跼。結果兩組胎兒窘迫髮生因素(胎盤因素、臍帶因素、母體因素、胎兒因素或羊水糞染等)比較，差異均無統計學意義(P>0.05)。觀察組產後齣血、新生兒窒息、缺血缺氧性腦病、胎兒生長受限、產褥感染及低蛋白血癥的髮生率分彆為5.77%、5.77%、3.85%、1.92%、11.54%、9.62%，與對照組的9.62%、7.69%、5.77%、1.92%、7.69%、5.77%相比較，差異無統計學意義(P>0.05)。單因素Logistic迴歸分析結果顯示，臍帶、胎盤、胎兒、母體、羊水糞染均是胎兒窘迫的危險因素。兩組中均未髮生新生兒死亡結跼。結論治療足月妊娠臨產胎兒窘迫應用剖宮產術與陰道助產術均能穫得較好的母嬰結跼，應根據產婦具體情況而選擇適噹的分娩方式。
목적：탐토족월임신임산태인군박발생인소급부궁산술여음도조산술간예효과。방법2012년10월~2013년10월기간아원접수적104례족월임신임산태인군박산부수궤분위관찰조화대조조량조，각52례。대조조산부균시이음도조산술，관찰조산부균시이부궁산술，대비분석량조적태인군박발생인소급모영결국。결과량조태인군박발생인소(태반인소、제대인소、모체인소、태인인소혹양수분염등)비교，차이균무통계학의의(P>0.05)。관찰조산후출혈、신생인질식、결혈결양성뇌병、태인생장수한、산욕감염급저단백혈증적발생솔분별위5.77%、5.77%、3.85%、1.92%、11.54%、9.62%，여대조조적9.62%、7.69%、5.77%、1.92%、7.69%、5.77%상비교，차이무통계학의의(P>0.05)。단인소Logistic회귀분석결과현시，제대、태반、태인、모체、양수분염균시태인군박적위험인소。량조중균미발생신생인사망결국。결론치료족월임신임산태인군박응용부궁산술여음도조산술균능획득교호적모영결국，응근거산부구체정황이선택괄당적분면방식。
Objective To investigate the factors of term pregnancy fetal distress at term pregnancy and intervention midwifery cesarean section and vaginal fetal distress. Methods All 104 cases of full-term pregnancy with maternal fetal distress in labor were random divided into observation group and control group from our hospital from October 2012-October 2013, each group had 52 cases. Mothers in the control group were given vaginal midwifery, maternal in the observation group were used cesarean section, fetal distress factors and maternal and neonatal outcomes of two groups were compared and analyzed. Results Fetal distress factor (placenta, umbilical cord factors, maternal factors, fetal factors or amniotic fluid, etc.) of two groups were compared, the difference was not statistically significant (P>0.05). The inci dence of postpartum hemorrhage, neonatal asphyxia, hypoxic ischemic encephalopathy, fetal growth restric-tion,puerperal infection and hypoproteinemia of the observation group were 5.77%,5.77%, 3.85%,1.92%, 11.54%,9.62%,compared with 9.62%, 7.69%, 5.77%, 1.92%, 7.69%, 5.77%in the control group,the difference was not statis-tically significant (P>0.05). Single factor factors Logistic regression analysis results showed that the umbilical cord and placenta, fetal and maternal,amniotic fluid dung are independent risk factors of fetal distress. Multiple factors Logistic regression analysis results showed that fetal and maternal,amniotic fluid dung are independent risk factors of fetal dis-tress. neonatal deaths of two groups did not occur. Conclusion Vaginal delivery applications and cesarean surgery in treatment of fetal distress of full-term pregnancy can get better maternal and neonatal outcomes, should be based on the specific circumstances of women to choose the appropriate mode of delivery.
