肩难产71例临床分析  

CLINICAI ANALYSIS OF 71 CASES OF SHOULDER DYSTOCIA

作　　者：杨若雅 黄小霞[1] 贾金平[1] 高赐凤 任惠琼[1] 

机构地区：[1]广州市花都区妇幼保健院,广东广州510800

出　　处：《现代医院》2013年第10期20-22,共3页Modern Hospitals

摘　　要：目的分析肩难产的发生率,并发症及高危因素,探讨其临床价值。方法回顾性分析我院71例肩难产病例,并随机抽取同期阴道分娩的71例作为对照。比较两组产妇及新生儿的各项指标。结果①两组产妇的宫高、腹围比较差异均有显著性(p<0.05);②两组B超测定胎儿双顶径、头围及股骨长无明显差异(p>0.05),B超测定胎儿腹围、腹围-头围比较差异均有显著性(p<0.01);③两组新生儿体重、新生儿损伤率及产妇产后2小时出血≥250ml比率比较有显著性差异(p<0.01)。结论肩难产的发生率随胎儿体重增加而升高,通过高危因素预测并正确处理肩难产是降低围产儿及产妇并发症的重要措施。Objective To assess the incidence, complications and High risk factors of shoulder dystocia to probe into clinical significance. Methods Retrospective analysis in 71 cases of shoulder dystocia,71 cases of vaginal delivery were randomly selected as the control group. Assess the difference between the two groups. Results （~）The two groups had significant difference in the height of uterus,abdomen circum（p 〈 0. 05 ） ; ~）The biparietal diameter （ BPD）, head circumference （HC） ,femoral length （FL） had no difference in two groups （p 〉 0.05 ）. Abdomen circ- umference （AC） ,the subtraction between AC and HC had significant difference in the two groups （p 〈 0.05 ）. （~）Neo- natal birth weight,Newborn damage rate,Maternal postpartum hemorrhage i〉250 ml in 2 hours had significantly differ- ence in the two groups（p 〈0. 05 ）. Conclusion The incidence of shoulder dystocia increases with increment of neo; natal birth weight, it is an important method to decrease the complications of perinatal infants and mothers by forecas- ting the high risk factors.

关 键 词：肩难产 高危因素 并发症 

分 类 号：R714.4[医药卫生—妇产科学]