低位产钳术与剖宫产术处理第二产程异常对母婴结局影响的比较分析  

Comparative Analysis of Low Forceps and Cesarean Section in the Second Stage of Labor With Abnormal Effect on Pregnancy Outcome

作　　者：常进科 CHANG Jinke(Obstetrics Department, Inner Mongolia Maternal and Child Health Care Hospital, Hohhot Inner Mongolia 010010, China)

机构地区：[1]内蒙古妇幼保健院产科,内蒙古呼和浩特010010

出　　处：《中国继续医学教育》2017年第23期120-122,共3页China Continuing Medical Education

摘　　要：目的比较低位产钳术与剖宫产术处理第二产程异常时利弊,指导临床选择处理第二产程异常安全、有效的方式,以便降低母婴不良结局。方法选择2016年6月—2017年6月我院收治的妊娠足月的产妇在第二产程中出现异常情况共120例作为研究对象,其中胎儿窘迫68例,第二产程延长35例,其它情况17例;产钳助产术68例,剖宫产术52例。对比产钳术和剖宫产术对母婴的影响。结果产钳术组产后出血率、产褥感染率均低于剖宫产术组,差异具有统计学意义(P<0.05)。两组软产道损伤率、新生儿窒息率、新生儿损伤率对比,差异无统计学意义(P>0.05)。结论产钳助产术在处理第二产程异常时安全、有效,可降低剖宫产率。Objective To compare the abnormal low forceps and cesarean section in the second stage of labor when processing advantages and disadvantages, guide the clinical treatment of abnormal second stage of labor is safe and effective, in order to reduce the adverse pregnancy outcome. Methods A total of 120 cases of the second stage of labor in abnormal conditions from June 2016 to June 2017 in full-term pregnancy in our hospital were selected as the study objects, including 68 cases of fetal distress, 35 cases of prolonged second stage of labor, the other 17 cases, 68 cases of antenatal midwifery and 52 cases of cesarean section. Comparison of the effects of forceps delivery and cesarean section on maternal and infant. Results The forceps group the rate of postpartum hemorrhage and puerperal infection were lower than the rate of cesarean section group, the difference was statistically significant （P 〈 0.05）. Two groups of soft birth canal injury rate, neonatal asphyxia rate, neonatal injury rate contrast, the difference was not statistically significant （P 〉 0.05）. Conclusion Forceps in the second stage of labor is abnormal is safe and effective, can reduce the rate of cesarean section.

关 键 词：低位产钳术 剖宫产术 第二产程异常 母婴结局 

分 类 号：R71[医药卫生—妇产科学]