无创低位产钳术对母婴妊娠结局及新生儿脑血流的影响  

作　　者：沈伟卫 孟迪云 方嵘 陈亚宁 刘明松 

机构地区：[1]浙江省湖州市妇幼保健院,313000

出　　处：《浙江临床医学》2020年第1期59-61,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省湖州市公益性研究项目(2017GYB44)。

摘　　要：目的观察无创低位产钳术对母婴妊娠结局及新生儿脑血流的影响.方法选择2017年1月至12月行无创低位产钳术自然分娩的产妇120例为观察组,同期行会阴侧切低位产钳术自然分娩的产妇100例为对照组.观察两组产妇第二产程时间、出血量、会阴裂伤程度、会阴疼痛情况以及分娩并发症发生率,新生儿Apgar评分、并发症发生率以及新生儿脑血流情况.结果两组产妇第二产程时间相比差异无统计学意义(P>0.05),观察组产妇出血量明显少于对照组,差异有统计学意义(P<0.05).两组产妇均无Ⅳ度会阴裂伤,观察组产妇会阴裂伤发生率显著低于对照组,且严重程度较对照组轻,差异有统计学意义(P<0.05).观察组产妇会阴疼痛发生率显著低于对照组,且疼痛程度较对照组轻,差异有统计学意义(P<0.05).观察组产妇并发症发生率显著低于对照组,差异有统计学意义(P<0.05).观察组新生儿Apgar评分(9.4±0.2)分,对照组(9.1±0.5)分,两组间差异无统计学意义(t=1.589,P=0.113).观察组新生儿并发症发生率为4.2%,对照组新生儿并发发生率为3%,两组之间无差异(χ^2=0.212,P=0.645).两组新生儿的大脑中动脉、大脑前动脉和颈内动脉的收缩期峰流速、舒张期末流速、平均流速以及脉动指数相比差异均无统计学意义(P>0.05).结论无创低位产钳术能改善母婴结局,对新生儿脑血流无不良影响,值得进一步推广应用.Objective To observe the effect of noninvasive low forceps on pregnancy outcome and neonatal cerebral blood flow.Methods 120 cases of noninvasive low forceps childbirth maternal from January 2017 to December 2017 in our hospital were selected as the observation group.Over the same period of 100 cases low forceps line episiotomy natural childbirth maternal were selected as the control group.The two groups were observed in the second stage of labor time,bleeding amount,perineal laceration,perineal pain and childbirth complications,Apgar score,the incidence of neonatal complications and neonatal cerebral blood flow.Results There was no significant difference in the two groups of the time of the second stage of labor(P>0.05),bleeding of the observation group were significantly less than the control group,the difference was statistically significant(P<0.05).The two groups had no IV perineum laceration,the incidence of perineum laceration in the observation group was significantly lower than that of the control group,and the severity was less than the control group(P<0.05).The incidence of perineum pain in the observation group was significantly lower than that of the control group,and the degree of pain was lighter than that of the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group(P<0.05).The score of Apgar in the observation group was(9.4±0.2),the control group was(9.1±0.5),and there was no difference between the two groups(t=1.589,P=0.113).The incidence of neonatal complications in the observation group was 4.2%,the incidence of newborns in the control group was 3%,and there was no difference between the two groups(χ^2=0.212,P=0.645).There was no significant difference in systolic peak velocity,diastolic velocity,mean velocity and pulsatility index between the two groups of neonatal middle cerebral artery,anterior cerebral artery and internal carotid artery(P>0.05).Conclusion Noninvasive low forceps can improve maternal and neonata

关 键 词：无创低位产钳术 妊娠结局 新生儿脑血流 

分 类 号：R71[医药卫生—妇产科学]