低位产钳术对母婴结局的影响  

The impact of low forceps operation on maternal and neonatal outcomes

作　　者：刘伟武[1] 曾伟兰[1] 肖海燕[1] 

机构地区：[1]广西壮族自治区玉林市妇幼保健院,广西玉林537000

出　　处：《西部医学》2015年第5期704-706,共3页Medical Journal of West China

基　　金：广西科学研究与技术开发项目(1140003B-42)

摘　　要：目的探讨低位产钳术对产妇母婴结局的影响。方法回顾性分析我院2012年1月至2013年12月收治的372例行低位产钳术及剖宫术产妇的临床资料,两种术式各186例,比较并探究低位产钳术对于产妇母婴结局的影响。结果低位产钳组并发母体软产道损伤6例,尿潴留5例,均较剖宫产组显著降低(P<0.05),而并发新生儿面部擦伤5例,较剖宫产组显著升高(P<0.05),其余母婴并发症发生情况无差异(P>0.05)。结论与剖宫产比较,低位产钳术会增加新生儿面部擦伤发生率,降低软产道损伤和尿潴留发生率,总体上母婴结局良好,效果肯定,是重要的头位难产助产方法,可在临床推广应用。Objective To research the impact of low forceps operation on maternal and neonatal outcomes. Methods The clinical data of 372 puerpera including low forceps and cesarean section were analyzed. The maternal and neonatal outcomes were observed. Results The incidence of soft birth canal injury and urinary retention of low forceps group were significantly lower than those of cesarean group （P〈0.05）. The incidence of neonatal facial abrasions of low forceps group were significantly higher than those of cesarean group （P〈0.05）. The remaining maternal complications were not different between the two group （P〉0.05）. Conclusion Compared to cesarean section, the low forceps could increase the incidence of neonatal facial abrasions, urinary retention and soft birth canal injury. Generally speaking, low forceps operation usually gets good maternal and neonatal outcomes.

关 键 词：低位产钳助产术 经阴道分娩 母婴结局 

分 类 号：R719.6[医药卫生—妇产科学]