气囊加力助产处理头位难产的回顾性病例对照研究  

Retrospective study on air-bag-forced midwifery in the treatment of cephalic presentation dystocia

作　　者：葛俊丽[1] 陈必良[1] 刘玉[1] 田扬顺[1] 

机构地区：[1]第四军医大学西京医院妇产科,西安710032

出　　处：《山西医科大学学报》2015年第6期590-592,共3页Journal of Shanxi Medical University

摘　　要：目的 探讨气囊加力助产术在处理头位难产中的应用价值.方法 回顾性分析2008-01～2013-12在第四军医大学西京医院妇产科住院分娩的头位难产的初产妇共468例,根据是否采用气囊加力助产术将其分为观察组228例和对照组240例,观察组应用气囊加力助产后再徒手旋转胎头,对照组只徒手旋转胎头.结果 两组分娩方式及产程时间比较,差异有统计学意义（P＜0.05）,两组母婴并发症比较,差异无统计学意义（P＞0.05）.结论 头位难产经气囊加力助产加徒手旋转胎头术可降低头位难产的剖宫产率,且产程时间较对照组明显缩短.Objective To investigate the application value of air-bag-forced midwifery for cephalic presentation dystocia. Methods A total of 468 pregnant women undergoing cephalic presentation dystocia from January 2008 to December 2013 at Department of Obstet- rics and Gynecology, Xijing Hospital, Fourth Military Medical University were collected and analyzed. According to using air-bag- forced midwifery or not, these pregnant women were divided into observation group （n = 228） and control group （n = 240）. The patients with cephalic presentation dystocia were treated with air-bag-forced midwifery and then hand rotation fetal surgery in observation group, whereas only hand rotation fetal surgery in control group. Results The mode of delivery and the labor time were statistically different between the two groups （ P 〈 0.05 ）, but there was no significant difference in maternal complications between the two groups （ P 〉 0.05）. Conclusion Treatment of cephalic presentation dystocia using air-bag-forced midwifery plus hand rotation fetal surgery can reduce the cesarean section rate caused by cephalic presentation dystocia, and the labor time can be significantly shorter.

关 键 词：气囊加力助产术 头位难产 徒手旋转胎头术 剖宫产率 

分 类 号：R719[医药卫生—妇产科学]