阴道试产第二产程延长或停滞行低位产钳术的可行性  

Feasibility of low forceps for prolonged or stagnant second stage of vaginal trial labor

作　　者：刘慧琴 杨艳 LIU Hui-qin;YANG Yon

机构地区：[1]陕西省靖边县人民医院,陕西榆林718500

出　　处：《临床医学研究与实践》2018年第9期137-138,共2页Clinical Research and Practice

摘　　要：目的分析阴道试产第二产程延长或停滞实施低位产钳术的临床效果。方法从我院2013年12月至2016年12月收治的阴道试产第二产程延长或停滞产妇中选取200例,将其分成对照组和观察组,各100例。对照组产妇实施无保护会阴助产术,观察组产妇实施低位产钳术。比较两组产妇的产后出血情况及分娩结局。结果观察组产妇的产时出血量、产后出血量及住院时间优于对照组(P<0.05);观察组的产后出血、会阴感染、会阴疼痛及宫颈裂伤发生率均明显低于对照组(P<0.05);两组新生儿的Apgar评分及皮肤擦伤、头皮血肿、窒息、神经损伤的发生率比较,差异无统计学意义(P>0.05)。结论低位产钳术在阴道试产第二产程延长或停滞中的应用,能够显著改善孕妇分娩结局,减少新生儿并发症发生率,值得临床推广。Objective To analyze the clinical effect of low forceps for prolonged or stagnant second stage of vaginal trial labor.Methods From December 2013 to December 2016,200 puerperae with prolonged or stagnant second stage of vaginal trial labor admitted in our hospital were selected and divided into control group and observation group,with 100 cases in each group.In the control group,perineum delivery was performed without protection,while low forceps were performed in the observation group.The postpartum hemorrhage and delivery outcome were compared between the two groups.Results Compared with the control group,the blood loss at delivery,postpartum bleeding and hospital stays of the puerperae in the observation group were better(P<0.05).The incidences of postpartum hemorrhage,perineum infection,perineal pain and cervical laceration in the observation group were significantly lower than those in the control group(P<0.05).There were no significant differences in Apgar scores and incidences of skin bruise,scalp hematoma,asphyxia and never injure of the neonatus between the two groups(P>0.05).Conclusion Low forceps for prolonged or stagnant second stage of vaginal trial labor can significantly improve the delivery outcome of puerperae,and reduce the incidence of neonatal complications,which is worthy of clinical promotion.

关 键 词：第二产程延长或停滞 低位产钳术 阴道试产 

分 类 号：R719.6[医药卫生—妇产科学]