压肠板在剖宫产术中助娩胎头的应用  

Application of Abdominal Spatula in Assisting the Delivery of Fetal Head during Cesarean Section

作　　者：曾苑玲 谢金兰 胡杨珊 ZENG Yuanling;XIE Jinlan;HU Yangshan(Shijing People′s Hospital,Baiyun District,Guangzhou 510430,China)

机构地区：[1]广州市白云区石井人民医院,广东广州510430

出　　处：《现代医院》2019年第2期292-294,共3页Modern Hospitals

摘　　要：目的探讨剖宫产术中应用压肠板助娩胎头的效果。方法选取2016年1月—2017年2月收治的25例剖宫产术中胎头娩出困难产妇为对照组,采用产钳助娩胎头,另选取2017年3月—2018年3月收治的25例剖宫产术中胎头娩出困难产妇为观察组,采用压肠板助娩胎头,对两组新生儿情况及产妇恢复情况进行观察。结果观察组新生儿Apgar评分明显较对照组高,新生儿窒息发生率明显低于对照组,两组差异有统计学意义(P <0. 05);观察组手术时间较对照组短,术中出血量较对照组低,术后肛门排气时间较对照组短,两组差异均有统计学意义(P <0. 05);观察组未发生任何并发症,比对照组16. 00%的并发症发生率明显更低(P <0. 05)。结论剖宫产术中胎头娩出困难采用压肠板的效果优于产钳助产,可缩短手术时间,提高新生儿Apgar评分,减少新生儿窒息,减少并发症,利于产妇恢复,值得推广。Ojbective To explore the effect of the abdominal spatula for assisting in the delivery of the fetal head during cesarean section.Methods A group of 25 maternities with difficulty delivering fetal heads in cesarean section admitted by our Hospital from January 2016 and February 2017 were selected as control group to be treated with the obstetric forceps.Meanwhile,another 25 maternities with difficulty in delivering fetal heads during cesarean section between March 2017 and March 2018 were selected as observation group to be treated with the abdominal spatulas.Then,the newborns′condition and status of recovery in maternities in each group were observed.Results The Apgar score in the observation group were significantly higher than that in the control group,and the incidence of birth asphyxia in the former group was significantly lower than that in the latter group.Regarding the Apgar score and the incidence of birth asphyxia,the differences between the two groups were statistically significant(P<0.05).The duration of surgery in the observation group was shorter than that in the control group.The volume of intraoperative bleeding in the former group was smaller than that in the latter group.The time for postoperative anal exhaust in the former group was shorter than that in the latter group.Regarding all these 3 measures,the differences between the two groups were statistically significant(P<0.05).The complication rate in the observation group was obviously lower than the control group(0.00%vs.16.00%,P<0.05).Conclusion The effect of the abdominal spatula for assisting in the delivery of the fetal head during cesarean section is superior to that of the obstetric forceps.The abdominal spatula cannot only shorten the duration of surgery,and improve the Apgar scores in newborns,but also reduce the incidence of birth asphyxia and complications,and help maternities recover.Thus,it is worth popularizing.

关 键 词：压肠板 剖宫产术 助娩胎头 

分 类 号：R719.8[医药卫生—妇产科学]