持续性枕后位对母儿结局的影响  

A study about persistent occipital posterior position's on mother and child

作　　者：王少军[1] 陈明[1] 郑艺[1] 杨高巧[1] 安强[1] 

机构地区：[1]遵义医学院附属医院产科,贵州遵义563003

出　　处：《中国妇幼保健》2008年第22期3115-3117,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨持续性枕后位对母儿结局的影响。方法:回顾性分析318例持续性枕后位的分娩方式、产道损伤、产后出血、羊水粪染(Ⅱ°以上)、新生儿Apgar评分(5min评分≤7分)、新生儿产伤等情况,并与同期350例枕前位进行对比分析。结果:持续性枕后位手术产率、产道损伤、产后出血率均较对照组明显增加;新生儿产伤及新生儿不良转归发生率均较对照组明显增加,两组比较均有显著性差异。结论:对持续性枕后位应做到早期诊断、及时处理、选择最佳的分娩方式以降低母儿并发症。Objective： To explore the effects of persistent occipital posterior position＇s （POPP） on mother and child. Methods： Three hundred eighteen patients with POPP were analyzed retrospectively , which including labor pattern, birth canal injury , postpartum hemorrhage, amniotic fluid, neonatal Apgar score （5minutes score） and the birth injury, and 350 cases of occipital anterior position （OAP） in control group were investigated correspondendy. Results： Higher rate of operational labor, birth canal injury, postpartum hemorrhage, birth injury and abnormal newborn turnover were occurred in POPP group compared with the control group. Significant differences were found between two groups. Conclusion： POPP patients should be diagnosed as early as possible and the best labor pattern should be adopted promptly in order to reduce the concurrent disease in mother and child.

关 键 词：持续性枕后位 母儿并发症 分娩方式 

分 类 号：R714.441[医药卫生—妇产科学]