产钳助产和急诊剖宫产在第二产程异常产妇中的实施价值对比  

Comparison of the value of forceps midwifery and emergency cesarean section in women with abnormal second stage of labor

作　　者：周校燕[1] ZHOU Xiaoyan(Obstetrics and Gynecology,Xiezhuang Coal Mine Hospital,Xinwen Mining Group,Xintai 271221,China)

机构地区：[1]新汶矿业集团协庄煤矿医院妇产科,新泰271221

出　　处：《中华灾害救援医学》2020年第9期487-488,508,共3页Chinese Journal of Disaster Medicine

摘　　要：目的分析产钳助产和急诊剖宫产在第二产程异常产妇中的临床效果。方法随机选取2016-12至2019-12新汶矿业集团协庄煤矿医院收治的98例第二产程异常产妇,根据对第二产程异常的处理方式不同进行分组。常规组49例,实施急诊剖宫产干预;观察组49例,实施产钳助产干预。对比两种处理方式对产妇以及新生儿产生的影响。结果与常规组相比较而言,观察组产妇产后出血率以及产褥期感染率明显更低(P<0.05);与常规组相比较而言,观察组新生儿面部擦伤、肺炎、头皮血肿以及轻度窒息不存在显著差异(P>0.05);与常规组相比,观察组新生儿的Apgar评分更高(P<0.05)。结论对于第二产程异常产妇而言,采用产钳助产能够更好的帮助产妇生产,减少对产妇以及婴儿造成的不良影响,同时降低剖宫产率,值得推广。Objective To analyze the clinical effect of forceps delivery and emergency cesarean section in women with abnormal second stage of labor.Methods 98 cases of women with abnormal second stage labor who were admitted to our hospital from December 2016 to December 2019 were randomly selected,and were grouped according to different treatment methods.The routine group(n=49)was given emergency cesarean section intervention;while the observation group(n=49)was given forceps intervention.The effects of the two treatment methods on maternal and newborn were compared.Results Compared with the routine group,the postpartum hemorrhage rate and puerperal infection rate of the observation group were significantly lower(P<0.05);There was no significant difference in the neonatal facial abrasions,pneumonia,scalp hematoma and in mild asphyxia between the two groups(P>0.05).Conclusion For women with abnormal second stage of labor,the use of forceps for midwifery can better help women to give birth,can reduce the rate of cesarean section,and reduce the adverse effects on women and babies.It is worth promoting.

关 键 词：产钳助产 急诊剖宫产 第二产程异常 

分 类 号：R71[医药卫生—妇产科学] R72[医药卫生—临床医学]