CAJ | 학술논문

目的：调查不同分娩时间产妇的一般情况及母婴并发症发生情况，以期为制定针对性措施提供临床依据。方法回顾性分析2014年1月至12月在上海交通大学医学院附属国际和平妇幼保健院妊娠28周以上、单胎头位、阴道分娩的产妇8931例的病史资料。根据分娩时间分为白班组(8：00－17：00)和中夜班组(17：00至次日8：00)，比较两组产妇的一般情况、母婴分娩并发症的发生情况等。结果白班组与中夜班组分娩量以及产妇的一般情况的差异无统计学意义(P ＞0．05)。中夜班时，急产的发生率为6．43％，明显高于白班；白班组，人工破膜、镇痛分娩、产钳助产、阴道切开、宫腔探查等助产操作比例明显高于中夜班组。两组产妇阴道血肿以及产后出血发生率的差异无统计学意义(P ＞0．05)，但中夜班分娩产妇产后2 h 发生产后出血比率明显高于白班(P ＜0．05)。两组新生儿娩出5 min Apgar 评分差异无统计学意义(P ＞0．05)。结论产房白班与中夜班的工作量相当，白班时产科助产操作比例更高，中夜班存在母婴安全的潜在危险因素。
목적：조사불동분면시간산부적일반정황급모영병발증발생정황，이기위제정침대성조시제공림상의거。방법회고성분석2014년1월지12월재상해교통대학의학원부속국제화평부유보건원임신28주이상、단태두위、음도분면적산부8931례적병사자료。근거분면시간분위백반조(8：00－17：00)화중야반조(17：00지차일8：00)，비교량조산부적일반정황、모영분면병발증적발생정황등。결과백반조여중야반조분면량이급산부적일반정황적차이무통계학의의(P ＞0．05)。중야반시，급산적발생솔위6．43％，명현고우백반；백반조，인공파막、진통분면、산겸조산、음도절개、궁강탐사등조산조작비례명현고우중야반조。량조산부음도혈종이급산후출혈발생솔적차이무통계학의의(P ＞0．05)，단중야반분면산부산후2 h 발생산후출혈비솔명현고우백반(P ＜0．05)。량조신생인면출5 min Apgar 평분차이무통계학의의(P ＞0．05)。결론산방백반여중야반적공작량상당，백반시산과조산조작비례경고，중야반존재모영안전적잠재위험인소。
Objective To investigate the general situation of the maternal in different delivery time and the incidence of complication of maternal and neonatal,in order to provide clinical evidence for setting targeted clinical measures.Methods Clinical data of totally 8931 cases of maternal were analyzed retrospectively, and time of delivery was categorized as day shift (8 AM to 5 PM)and middle night shift (5 PM to 8 AM). The general maternal characteristics and incidences of complications were compared between two groups. Results There was no statistical significance in the amount of deliveries or maternal characteristics during different shifts (P >0.05).6.43% of precipitate labors were occurred in the night shift,which was signifi-cantly higher than day shift.During the day shift,the rates of artificial rupture of membranes,analgesia la-bor,forceps delivery,colpotomy and intrauterine exploration were significantly higher than that in the night shift.There was no significant difference in terms of postpartum vaginal hematoma and postpartum hemor-rhage(P >0.05),but those who delivered at the night shift showed significantly higher rate of postpartum hemorrhage in the 2h after labor (P <0.05).There were no significant differences in 5-minute Apgar scores between the two groups(P > 0.05 ).Conclusion The workloads in day shift and night shift were pretty much the same,while the higher rate of delivery assistant operation is found in day shift and delivery in the night shift is associated with increased risk of maternal and neonatal complications.