改良娩肩法应用于肩难产产妇中的效果分析  

Effect analysis of the modified shoulder delivery in the application of shoulder dystocia

作　　者：刘雁[1] 孙金燕[1] 万丽[1] LIU Yan;SUN Jin-yan;WANG Li(Department of Obstetrics,Nanjing First Hospital,Nanjing Medical University,Nanjing Jiangsu 210006,China)

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)产科,210006

出　　处：《蚌埠医学院学报》2020年第1期128-130,共3页Journal of Bengbu Medical College

基　　金：南京医科大学科技发展基金重点项目计划(2017NJMUZD100)。

摘　　要：目的:探讨改良娩肩法应用于肩难产产妇中的效果。方法:肩难产产妇84例根据接产方法不同分为2组,对照组41例采用常规接产法,观察组43例采用改良娩肩法。对比2组产妇并发症发生率、产妇会阴裂伤程度、新生儿Apgar评分、新生儿产伤发生率情况。结果:观察组产妇产后总并发症发生率低于对照组(P<0.05);观察组会阴裂伤程度与对照组相比差异无统计学意义(P>0.05);观察组新生儿Agpar评分高于对照组,新生儿窒息率低于对照组(P<0.05);观察组新生儿产伤总发生率低于对照组(P<0.05)。结论:改良娩肩法应用于肩难产产妇中可显著降低产后并发症发生率和新生儿窒息率,尽可能减少新生儿产伤发生,保障分娩顺利进行,值得推广。Objective:To explore the effects of the modified shoulder delivery in the application of shoulder dystocia.Methods:A total of 84 cases with shoulder dystocia were divided into the control group(41 cases)and observation group(43 cases)according to different methods of delivery.The control group was treated with conventional delivery,and the observation group was treated with modified shoulder delivery.The incidence rate of maternal complications,degree of maternal perineal laceration,neonatal Apgar score and incidence rate of neonatal birth injury were compared between two groups.Results:The total incidence rate of postpartum complication in observation group was lower than that in control group(P<0.05).There was no statistical significance in the degree of perineal laceration between two groups(P>0.05).The Agpar score and neonatal asphyxia rate in observation group were higher and lower than that in control group,respectively(P<0.05).The total incidence rate of birth injury in observation group was lower than that in control group(P<0.05).Conclusions:The modified shoulder delivery can significantly reduce the incidence rates of postpartum complications and neonatal asphyxia,minimize the incidence of neonatal birth injury,and ensure the smooth delivery of childbirth.It is worthy of promotion.

关 键 词：肩难产 改良娩肩法 产妇 并发症 新生儿Apgar评分 

分 类 号：R714.4[医药卫生—妇产科学]