剖宫产和阴道助产术用于足月妊娠胎儿窘迫症的比较  

Cesarean section versus vaginal midwifery in treatment of fetal distress in term pregnancy

作　　者：许江山[1] 王粉[1] 

机构地区：[1]三门峡市中心医院,河南三门峡472000

出　　处：《现代临床医学》2017年第5期349-350,共2页Journal of Modern Clinical Medicine

摘　　要：目的:比较剖宫产与引导助产对足月妊娠胎儿窘迫症的疗效及安全性差异。方法:选取60例足月妊娠胎儿窘迫症孕妇作为观察对象,分为2组,观察组选择剖宫产手术,对照组接受阴道助产分娩,评价两种方式对母婴结局的影响及胎儿窘迫症改善情况。结果:2组新生儿Apgar评分8~10分、0~3分比例对比有显著性差异(P<0.05)。观察组术后并发症发生率13.33%,低于对照组的23.33%(P<0.05)。结论:就局部指标而言,剖宫产术能进一步降低重度窒息发生率及术后并发症,可作为临床首选的抢救手段进行推广。Objective： To compare the efficacy and safety of caesarean section with vaginal midwifery in the treatment of fetal distress in term pregnancy. Methods： 60 full-term parturients with fetal distress were randomly divided into two groups. The observation group chose cesarean section while the control group received vaginal midwifery. The effects of two ways on maternal and neonatal outcomes and fetal distress improvement were evaluated. Results： There were significant differences in the ratios of Apgar score of 8-10 points and 0-3 points between the two groups（ P 〈 0. 05）. The incidence of postoperative complications in the observation group was 13. 33%,which was significantly lower than that of the control group（ 23. 33%,P 〈 0. 05）. Conclusion：Cesarean section can further reduce the incidence of severe fetal asphyxia and postoperative complications. It can be used as the first choice in treatment of fetal distress in term pregnancy,and should be promoted.

关 键 词：足月妊娠胎儿窘迫症 阴道助产 剖宫产 母婴结局 

分 类 号：R714.43[医药卫生—妇产科学]