巨大儿与正常体重儿肩难产临床特征分析  

Analysis of Clinical Characteristics of Shoulder Dystocia in Giant Children and Normal Weight Children

作　　者：陈巧云 CHEN Qiao-yun(Shanxi Modem Maternity Hospital,Taiyuan, Shanxi)

机构地区：[1]山西现代妇产医院,山西太原

出　　处：《世界最新医学信息文摘》2020年第56期121-122,共2页World Latest Medicine Information Electronic Version

摘　　要：目的 对巨大儿与正常体重儿肩难产的临床特征进行比较分析.方法 本研究入选的研究对象均为在本院分娩且发生肩难产的产妇,共入选60例,其中有45例为巨大儿肩难产,作为研究组,有15例为正常体重儿肩难产,作为对照组,对两组的临床特征进行分析对比.结果 相比于对照组,研究组中母婴并发症发生率均更高,如产道出血、软产道损伤、新生儿窒息、臂丛神经损伤等,两组差异均有显著的统计学意义(P<0.05).在产程异常情况方面比较,研究组第一产程宫缩乏力、第二产程延长的发生率均明显高于对照组,组间差异有统计学意义(P<0.05).在娩肩方法方面,对照组采取屈大腿法分娩成功率明显高于研究组,而研究组屈大腿法加压前肩法分娩成功率更高,两组差异有统计学意义(P<0.05).结论 发生肩难产的一个常见危险因素便是巨大儿,相比于正常体重儿肩难产,巨大儿肩难产分娩难度更大,母婴并发症更多,产程更长,对此类难产,需要掌握有效快速的助产方法,促进分娩更加安全顺利的进行,更好地保障母婴的健康安全.Objective To compare and analyze the clinical features of shoulder dystocia between giant children and normal weight children.Methods The subjects selected in this study were all women who gave birth in this hospital and had shoulder dystocia,a total of 60 cases were selected?among them,45 cases were huge shoulder dystocia,as the research group,15 cases of normal weight infants with shoulder dystocia,as the control group,the clinical characteristics of the two groups was analyzed and compared.Results Compared with the control group,the incidence of maternal and infant complications in the study group was higher,such as birth canal bleeding,soft birth canal injxiry,neonatal asphyxia,and brachial plexus nerve injury,the difference between the two groups was statistically significant(P<0.05).Comparing the abnormalities of labor,the incidence of contraction fatigue in the first labor and the prolongation of the second labor in the study group were significantly higher than those in the control group.the difference between the groups was statistically significant(P<0.05).In terms of shoulder delivery method,the control group's success rate of delivery with thigh flexion was significantly higher than that of the study group,while the study group had a higher delivery success rate with flexion thigh compression before shoulder method,the difference between the two groups was statistically significant(P<0.05).Conclusion A common risk factor for shoulder dystocia is huge children.Compared with nomial_weight infants,shoulder dystocia.to deliver,has more mother-to-infant complications,and longer labor3for such dystocia,it is necessary to master effective and fast midwifery methods to promote safer and smoother delivery and better protect the health and safety of mothers and infants.

关 键 词：巨大儿 正常体重儿 肩难产 临床特征 

分 类 号：R714.4[医药卫生—妇产科学]