中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
9期
101-103,104
,共4页
软产道裂伤%彩色多普勒超声%危险因素%Logestic回归分析%防治措施
軟產道裂傷%綵色多普勒超聲%危險因素%Logestic迴歸分析%防治措施
연산도렬상%채색다보륵초성%위험인소%Logestic회귀분석%방치조시
Soft birth canal laceration%Color Doppler ultrasound%Risk factors%Logestic regression analysis%Prevention and control measures
目的：分析产妇自然分娩时软产道裂伤的危险因素，探讨其合理的防治措施。方法：选取428例自然分娩的产妇，采用飞利浦HD11 XE彩色声像仪进行腹部彩超检查，对其软产道裂伤的危险因素进行调查。结果：研究显示，软产道裂伤的发生率为66.12%，经单因素非条件Logestic 回归分析发现，急产、初产、妊高征、巨大儿、胎儿方位不正、拨露时间短、臀位后出头、手法回转胎头、阻塞性分娩、催产素、宫颈炎症水肿以及应用产钳12个因素与软产道裂伤的发生相关；多因素非条件Logistic回归分析，在α=0.05水平上共入选7个因素：即急产、巨大儿、胎儿方位不正、臀位后出头、手法回转胎头、催产素以及应用产钳。结论：临床中急产、巨大儿、胎儿方位不正、臀位后出头、手法回转胎头、催产素以及应用产钳7个因素与软产道裂伤的发生密切相关，应采取相应的防治措施，有效地减少和控制软产道裂伤的发生率。
目的：分析產婦自然分娩時軟產道裂傷的危險因素，探討其閤理的防治措施。方法：選取428例自然分娩的產婦，採用飛利浦HD11 XE綵色聲像儀進行腹部綵超檢查，對其軟產道裂傷的危險因素進行調查。結果：研究顯示，軟產道裂傷的髮生率為66.12%，經單因素非條件Logestic 迴歸分析髮現，急產、初產、妊高徵、巨大兒、胎兒方位不正、撥露時間短、臀位後齣頭、手法迴轉胎頭、阻塞性分娩、催產素、宮頸炎癥水腫以及應用產鉗12箇因素與軟產道裂傷的髮生相關；多因素非條件Logistic迴歸分析，在α=0.05水平上共入選7箇因素：即急產、巨大兒、胎兒方位不正、臀位後齣頭、手法迴轉胎頭、催產素以及應用產鉗。結論：臨床中急產、巨大兒、胎兒方位不正、臀位後齣頭、手法迴轉胎頭、催產素以及應用產鉗7箇因素與軟產道裂傷的髮生密切相關，應採取相應的防治措施，有效地減少和控製軟產道裂傷的髮生率。
목적：분석산부자연분면시연산도렬상적위험인소，탐토기합리적방치조시。방법：선취428례자연분면적산부，채용비리포HD11 XE채색성상의진행복부채초검사，대기연산도렬상적위험인소진행조사。결과：연구현시，연산도렬상적발생솔위66.12%，경단인소비조건Logestic 회귀분석발현，급산、초산、임고정、거대인、태인방위불정、발로시간단、둔위후출두、수법회전태두、조새성분면、최산소、궁경염증수종이급응용산겸12개인소여연산도렬상적발생상관；다인소비조건Logistic회귀분석，재α=0.05수평상공입선7개인소：즉급산、거대인、태인방위불정、둔위후출두、수법회전태두、최산소이급응용산겸。결론：림상중급산、거대인、태인방위불정、둔위후출두、수법회전태두、최산소이급응용산겸7개인소여연산도렬상적발생밀절상관，응채취상응적방치조시，유효지감소화공제연산도렬상적발생솔。
Objective:To analyze the risk factors on soft birth canal laceration in normal delivery and discuss the reasonable prevention and control measures.Methods:A follow-up study among the mothers, who delivered vaginally at our hospitals during 9-12 months in 2014, and investigate the risk factors on soft birth canal laceration.Results: In this study, the incidence of soft birth canal laceration in normal delivery was 66.12%, by the single factor unconditioned Logestic regression analysis found that emergency birth, primiparity, pregnancy induced hypertension syndrome, macrosomia, malposition, the short gel time, turn the hips to the fore, rotary fetal head, obstructed labor, oxytocin, cervical inflammation, obstetric forceps'application 12 factors were associated with soft birth canal laceration; On the alpha=0.05 level, multiariable unconditioned Logistic regression analysis showed seven factors: emergency birth, macrosomia, malposition, turn the hips to the fore, rotary fetal head, oxytocin, obstetric forceps'application. Conclusion: Emergency birth, macrosomia, malposition, turn the hips to the fore, rotary fetal head, oxytocin, obstetric forceps'application, the seven factors were closely related to the occurrence of soft birth canal laceration, corresponding measures should be taken to reduce and control the incidence of soft birth canal laceration effectively.
