低位产钳术与剖宫产术对母儿预后影响的分析  

Analysis on the effects of low forceps delivery and cesarean section on maternal-infantile prognosis

作　　者：徐艳明 伍娇娇 彭程[2] 

机构地区：[1]河南省信阳市妇幼保健院,464000 [2]安徽医科大学附属省立医院妇产科

出　　处：《中国妇幼保健》2015年第3期462-463,共2页Maternal and Child Health Care of China

基　　金：安徽高等学校省级自然科学研究项目〔KJ2013Z118〕

摘　　要：目的：探讨低位产钳术与剖宫产术对母儿预后的影响,并分析其临床应用效果及安全性。方法：选取2011年1月-2014年1月在该院住院头位经阴道试产发生第二产程延长或停滞时行低位产钳术的产妇60例为A组,另选取同样情况下行剖宫产术的产妇60例为B组,对两组临床资料进行回顾性分析,比较不同手术方法对母儿预后的影响及结局。结果：A组产妇产后出血、产褥感染、新生儿窒息和新生儿产伤发生率均低于B组,差异均有统计学意义（P均〈0.05）。A组患2个或2个以上并发症的比例低于B组。结论：低位产钳术可降低母儿并发症的发生率,是解决第二产程头位难产的重要手术方法,紧急情况下使用能有效缩短第二产程,较剖宫产术更为简便迅速,有利于降低剖宫产率。Objective： To explore the effects of low forceps delivery and cesarean section on maternal- infantile prognosis,analyze the clinical application effect and safety. Methods： Sixty women receiving low forceps delivery because of head- position and prolonged the second stage of labor or labor stagnation in the course of trial of vaginal labor in this hospital from January 2011 to January 2014 were selected as group A,sixty women receiving cesarean section under the same circumstance were selected as group B; the clinical data in the two groups were analyzed; the effects of different surgical methods on maternal- infantile prognosis and the outcomes in the two groups were compared.Results： The incidence rates of postpartum hemorrhage,puerperal infection,neonatal asphyxia and birth trauma in group A were statistically significantly lower than those in group B（ P〈0. 05）. The proportion of women with two or more than two kinds of complications in group A was lower than that in group B. Conclusion： Low forceps delivery can reduce the incidence rate of maternal- infantile complications,which is an important surgical method to solve head- position in the second stage of labor,it can effectively shorten the second stage of labor in emergencies,the method is more convenient and quicker compared with cesarean delivery,so it can reduce the rate of cesarean delivery.

关 键 词：低位产钳术 剖宫产术 母儿并发症 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]