中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
13期
5-6
,共2页
胎儿宫内窘迫%剖宫产术%足月妊娠
胎兒宮內窘迫%剖宮產術%足月妊娠
태인궁내군박%부궁산술%족월임신
Fetal distress in uterus%Cesarean section%Full-term pregnancy
目的：探讨足月胎儿宫内窘迫施行阴道助产术的效果及母婴结局。方法146例观察组采用阴道助产术结束妊娠，135例对照组采用剖宫产术，对比两组术中总失血量、新生儿窒息发生率、产妇并发症发生率。结果对照组实施剖宫产术100%，观察组为1.37%；观察组新生儿窒息发生率13.01%，对照组18.52%；观察组总出血量和产后出血患者均明显少于对照组；各项指征统计结果，差异有统计学意义（P<0.05）。结论阴道助产术用于足月临产胎儿宫内窘迫中可获得良好的母婴结局，完善并推广阴道助产技术有望降低剖宫产率。
目的：探討足月胎兒宮內窘迫施行陰道助產術的效果及母嬰結跼。方法146例觀察組採用陰道助產術結束妊娠，135例對照組採用剖宮產術，對比兩組術中總失血量、新生兒窒息髮生率、產婦併髮癥髮生率。結果對照組實施剖宮產術100%，觀察組為1.37%；觀察組新生兒窒息髮生率13.01%，對照組18.52%；觀察組總齣血量和產後齣血患者均明顯少于對照組；各項指徵統計結果，差異有統計學意義（P<0.05）。結論陰道助產術用于足月臨產胎兒宮內窘迫中可穫得良好的母嬰結跼，完善併推廣陰道助產技術有望降低剖宮產率。
목적：탐토족월태인궁내군박시행음도조산술적효과급모영결국。방법146례관찰조채용음도조산술결속임신，135례대조조채용부궁산술，대비량조술중총실혈량、신생인질식발생솔、산부병발증발생솔。결과대조조실시부궁산술100%，관찰조위1.37%；관찰조신생인질식발생솔13.01%，대조조18.52%；관찰조총출혈량화산후출혈환자균명현소우대조조；각항지정통계결과，차이유통계학의의（P<0.05）。결론음도조산술용우족월임산태인궁내군박중가획득량호적모영결국，완선병추엄음도조산기술유망강저부궁산솔。
Objective To explore the effect of vaginal midwifery for full-term fetal distress and the maternal and neonatal out-comes. Methods Vaginal midwifery was adopted at the end of pregnancy of 146 cases in the observation group, and cesarean sec-tion was used in 135 cases in the control group. The total amount of intraoperative blood loss, the incidence of neonatal asphyxia and maternal complications of two groups were compared. Results The rate of implementing cesarean section of the control group was 100%, while that of the observation group was 1.37%; the incidence of neonatal asphyxia of the observation group was 13.01%, and that of the control group was 18.52%; the total amount of intraoperative blood loss, and the number of postpartum hemorrhage patients were significantly less than those of the control group; the statistical results of the indications, P<0.05. Con-clusion Vaginal midwifery adopted in full-term parturient fetal distress can achieve good maternal and neonatal outcome. And im-proving and promoting vaginal midwifery technology is expected to reduce the rate of cesarean section.
