齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
31期
4746-4747
,共2页
胎头高浮%剖宫产%足牵引娩出%新生儿窒息
胎頭高浮%剖宮產%足牽引娩齣%新生兒窒息
태두고부%부궁산%족견인면출%신생인질식
Floating head%Cesarean section%Foot traction delivery%Fetal apnea
目的 分析胎头高浮剖宫产胎头娩出发生困难的原因并探讨处理措施,以减少胎头娩出困难以及娩出时间过长对新生儿的影响.方法 选择2012年6月至2014年12月在我院进行高浮胎头剖宫产手术产妇50例作为对照组,同期胎头高浮以内倒转,足牵引娩出产妇50例作为观察组,比较两组产妇胎头娩出时间、新生儿体重、新生儿窒息率以及术后病率和出血量.结果 观察组产妇胎儿娩出时间为(62.17 ±2.98)s,显著短于对照组产妇的(99.24 ±6.37)s(P<0.05);观察组新生儿窒息率为8.0%,显著低于对照组新生儿窒息率64.0%(P<0.05);观察组术后病率和术后出血量也要低于对照组产妇(P<0.05).结论 高浮胎头剖宫产发生胎头娩出困难和娩出时间过长从而导致新生儿窒息的发生率显著增高,足牵引娩出的方式能够显著减少胎头娩出时间、新生儿窒息率以及术后病率和出血量,值得临床推广使用.
目的 分析胎頭高浮剖宮產胎頭娩齣髮生睏難的原因併探討處理措施,以減少胎頭娩齣睏難以及娩齣時間過長對新生兒的影響.方法 選擇2012年6月至2014年12月在我院進行高浮胎頭剖宮產手術產婦50例作為對照組,同期胎頭高浮以內倒轉,足牽引娩齣產婦50例作為觀察組,比較兩組產婦胎頭娩齣時間、新生兒體重、新生兒窒息率以及術後病率和齣血量.結果 觀察組產婦胎兒娩齣時間為(62.17 ±2.98)s,顯著短于對照組產婦的(99.24 ±6.37)s(P<0.05);觀察組新生兒窒息率為8.0%,顯著低于對照組新生兒窒息率64.0%(P<0.05);觀察組術後病率和術後齣血量也要低于對照組產婦(P<0.05).結論 高浮胎頭剖宮產髮生胎頭娩齣睏難和娩齣時間過長從而導緻新生兒窒息的髮生率顯著增高,足牽引娩齣的方式能夠顯著減少胎頭娩齣時間、新生兒窒息率以及術後病率和齣血量,值得臨床推廣使用.
목적 분석태두고부부궁산태두면출발생곤난적원인병탐토처리조시,이감소태두면출곤난이급면출시간과장대신생인적영향.방법 선택2012년6월지2014년12월재아원진행고부태두부궁산수술산부50례작위대조조,동기태두고부이내도전,족견인면출산부50례작위관찰조,비교량조산부태두면출시간、신생인체중、신생인질식솔이급술후병솔화출혈량.결과 관찰조산부태인면출시간위(62.17 ±2.98)s,현저단우대조조산부적(99.24 ±6.37)s(P<0.05);관찰조신생인질식솔위8.0%,현저저우대조조신생인질식솔64.0%(P<0.05);관찰조술후병솔화술후출혈량야요저우대조조산부(P<0.05).결론 고부태두부궁산발생태두면출곤난화면출시간과장종이도치신생인질식적발생솔현저증고,족견인면출적방식능구현저감소태두면출시간、신생인질식솔이급술후병솔화출혈량,치득림상추엄사용.
Objective To discuss the reasons of difficulty delivery and treatment of cesarean section for fetal floating head,so that we can decrease the affection on fetal due to long delivery.Methods Selected 50 cases patients with high floating fetal and received cesarean section in our hospital from June 2012 to December 2014as the control group.Within the same period,50 casesof maternal with the fetal head high floating upside down and foot traction delivery were selected as the observation group.We compared maternal fetal head delivery time,birth weight,neonatal asphyxia rate and postoperative morbidity and bleeding of the two groups.Results The delivery time of observation group was 62.17 ±2.98s,which significantly shorter than that of the control group (99.24 ±6.37s) (P<0.05).The neonatal asphyxia of observation groupwas 9.01%,significantly lower than the control group (65.82%) (P <0.05).The postoperative morbidity and postoperative bleeding in observation groupwere lower than the mothers of the control group (P<0.05).Conclusions The floating head could increase the incidence of deliverydifficulty and time.Foot traction delivery method could decrease the incidence and the apnea of fetal.
