世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
73期
48-49
,共2页
肩难产%高危影响因素%预防对策
肩難產%高危影響因素%預防對策
견난산%고위영향인소%예방대책
shoulder dystocia%High risk factors%Prevention countermeasures
目的:研讨肩难产的高危影响因素与其预防对策,以加强我科对该病的综合防治水平.方法:我院产科2008年5月-2015年5月共诊疗43例肩难产病例,将其设为观察组,同期选择43例正常产妇充当对照组,比较两组的妊娠糖尿病、产程时间及贫血发生情况,同时对其胎儿资料作评估.结果:观察组产妇中的妊娠糖尿病、产程延长及贫血发生率各是18.6%、27.9%和14.0%,与对照组的2.3%、2.3%和0%相比明显增高,有显著差异(P<0.05).观察组胎儿的胸围、身长相比对照组明显更长,体重明显更大,有显著差异(P<0.05),在头围方面,两组比较基本相当,无显著差异(P>0.05).结论:肩难产的发生与妊娠期糖尿病、产程延长和巨大儿等多方面因素密切相关,早期预防与处理是降低其发生率、保障母婴安全的重要途径.
目的:研討肩難產的高危影響因素與其預防對策,以加彊我科對該病的綜閤防治水平.方法:我院產科2008年5月-2015年5月共診療43例肩難產病例,將其設為觀察組,同期選擇43例正常產婦充噹對照組,比較兩組的妊娠糖尿病、產程時間及貧血髮生情況,同時對其胎兒資料作評估.結果:觀察組產婦中的妊娠糖尿病、產程延長及貧血髮生率各是18.6%、27.9%和14.0%,與對照組的2.3%、2.3%和0%相比明顯增高,有顯著差異(P<0.05).觀察組胎兒的胸圍、身長相比對照組明顯更長,體重明顯更大,有顯著差異(P<0.05),在頭圍方麵,兩組比較基本相噹,無顯著差異(P>0.05).結論:肩難產的髮生與妊娠期糖尿病、產程延長和巨大兒等多方麵因素密切相關,早期預防與處理是降低其髮生率、保障母嬰安全的重要途徑.
목적:연토견난산적고위영향인소여기예방대책,이가강아과대해병적종합방치수평.방법:아원산과2008년5월-2015년5월공진료43례견난산병례,장기설위관찰조,동기선택43례정상산부충당대조조,비교량조적임신당뇨병、산정시간급빈혈발생정황,동시대기태인자료작평고.결과:관찰조산부중적임신당뇨병、산정연장급빈혈발생솔각시18.6%、27.9%화14.0%,여대조조적2.3%、2.3%화0%상비명현증고,유현저차이(P<0.05).관찰조태인적흉위、신장상비대조조명현경장,체중명현경대,유현저차이(P<0.05),재두위방면,량조비교기본상당,무현저차이(P>0.05).결론:견난산적발생여임신기당뇨병、산정연장화거대인등다방면인소밀절상관,조기예방여처리시강저기발생솔、보장모영안전적중요도경.
Objective: To study the risk factors of shoulder delivery and preventive measures, in order to strengthen the comprehensive prevention and control of the disease.Methods: 43 cases of shoulder during the course of May -2015 in our hospital were selected as the observation group, and 43 cases of normal pregnant women served as control group, compared with two groups of gestational diabetes, birth process time and anemia.Results: in the observation group, the gestational diabetes, birth process and the incidence of anemia were 18.6%, 14% and 27.9%, compared with the control group, 2.3%, 2.3% and 0% were significantly higher, there were significant differences (P < 0.05). Observation group fetal chest circumference, height compared to the control group was significantly longer, body weight was significantly greater, there was a significant difference (P< 0.05), head circumference, two group is basically the same, no significant difference (P > 0.05).Conclusion: the occurrence of shoulder is closely related to many factors, such as gestational diabetes, prolonged labor, and so on. Early prevention and treatment is an important way to reduce the incidence of maternal and child safety.
