270例头位难产产妇妊娠结局回顾性分析  

The retrospective study on pregnancy outcome of 270 head dystocia cases

作　　者：吕小燕[1] 尹春艳[1] 马云燕[1] 胡玉凤[1] 陈健飞[1] 

机构地区：[1]广东省第二人民医院,510317

出　　处：《国际医药卫生导报》2011年第18期2285-2287,共3页International Medicine and Health Guidance News

摘　　要：目的分析头位难产的发生率、原因、早期诊断、处理方法及对新生儿的影响。方法回顾分析2008年1月一2010年12月在我院住院分娩发生头位难产的270例产妇的临床病例资料，分析发生头位难产的常见原因、早期诊断、处理方法及对新生儿的影响。结果①头位难产发生率为12．13％，其中胎位异常占头位难产的62．43％，是头位难产最常见的原因；产程进展异常占22．11％，胎儿宫内窘迫占2．12％，剖宫产占21．33％。②两组产妇产前头盆评分比较，两组中头盆评分小于8分、≥9分组发生头位难产比较，差异无显著性（户〉0．05l头盆评分8～9分发生头位难产比较，差异有显著性垆〈o．05~③两组新生儿1分钟、5分钟Apgar评分比较，差异无显著性（尸〉0．05）。结论头盆评分有助于难产的早期诊断，产程图有助对难产进行早期处理，对保障母婴安全具有重要意义。Objective To analyze the head dystocia＇s incidence, causes, early diagnosis, treatment, and influence on the newborns. Method Retrospectively analyzed the clinical data of the delivery women who were admitted into our hospital from January 2008 to December 2010, and the common causes, early diagnosis, treatment of head dystocia and its influence on the newborns. Results （~）The incidence of head dystocia was 12.13%. The main reason of head dystocia was fetal position, whose incidence was 62.43%. The incidences of the abnormal labor and fetal distress in uterus were 22.11% and 2.12% respectively. The incidence of cesarean section was 21.33%. （~） According to the cephalopelvic score, there was no significant difference（P〉 0.05）between the two groups whose cephalopelvic scores are 〈 8 score and I〉9 score. There was significant difference（P〈 0.05）between the 2 groups whose cepha- lopelvic score is between 8 and 9. （~） There is no significant difference（P 〉 O.05）between the 1-minute Apgar score and the 5-minute Apgar score of the obstetrical forceps group and the cesarean section group. Conclusion The cephalopelvic score is helpful for the diagnosis of head dystocia. The partogram is helpful for dealing with the head dystocia early. They are both very meaningful for the security of the maternal and child.

关 键 词：头位难产 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]