CAJ | 학술논문

目的：探讨再次剖宫产术中应用剖宫产产钳解决困难的临床效果。方法：收治再次剖宫产产妇80例，随机分成观察组和对照组各40例。观察组使用产钳帮助胎头娩出，对照组徒手帮助胎头娩出。对两组患者进行比较。结果：观察组手术开始至胎头娩出时间、子宫切口撕裂例数及新生儿颅内出血例数明显少于对照组(P＜0.05)，新生儿Apgar评分明显高于对照组(P＜0.05)。对照组出现2例新生儿头皮血肿及2例新生儿窒息，观察组未出现，两组比较，差异有统计学意义(P＜0.05)。结论：使用剖宫产产钳可以明显使胎头顺利娩出，降低了新生儿再次剖宫产的风险。
목적：탐토재차부궁산술중응용부궁산산겸해결곤난적림상효과。방법：수치재차부궁산산부80례，수궤분성관찰조화대조조각40례。관찰조사용산겸방조태두면출，대조조도수방조태두면출。대량조환자진행비교。결과：관찰조수술개시지태두면출시간、자궁절구시렬례수급신생인로내출혈례수명현소우대조조(P＜0.05)，신생인Apgar평분명현고우대조조(P＜0.05)。대조조출현2례신생인두피혈종급2례신생인질식，관찰조미출현，량조비교，차이유통계학의의(P＜0.05)。결론：사용부궁산산겸가이명현사태두순리면출，강저료신생인재차부궁산적풍험。
Objective:To explore the clinical effect of application of cesarean section forceps solving difficult in the second cesarean section.Methods:80 puerperas with second cesarean section were selected.They were randomly divided into the observation group and the control group with 40 cases in each.The observation group used forceps to help fetal head delivery.The control group used hand to help fetal head delivery.The patients in two groups were compared.Results:The operation beginning to the fetal head delivery time,uterine incision laceration cases and neonatal intracranial hemorrhage cases in the observation group were significantly less than those of the control group(P<0.05),the neonatal Apgar score was significantly higher than that of the control group(P<0.05).In the control group,there were 2 cases of neonatal scalp hematoma and 2 cases of neonatal asphyxia,the observation group did not appear,the difference was statistically significant between two groups(P<0.05).Conclusion:Using cesarean section forceps can significantly improve the smooth delivery of fetal head,reduce the second cesarean section risk of newborn.