剖宫产与阴道助产术在足月妊娠临产胎儿窘迫中的临床疗效探讨  

The Clinical Effect of Cesarean Section and Vaginal Delivery on Fetal Distress in Term Pregnancy

作　　者：申小平 SHEN Xiao-ping(Qinghai Transportation Hospital,Xining,Qinghai 810000)

机构地区：[1]青海省交通医院,青海西宁810000

出　　处：《智慧健康》2020年第28期45-47,共3页Smart Healthcare

摘　　要：目的探讨分析剖宫产与阴道助产术在足月妊娠临产胎儿窘迫中的临床疗效。方法选择我院收治的500例足月妊娠临产胎儿窘迫产妇作为研究对象,这些患者的纳入时间为2018年1月至2019年7月,根据这些产妇选择的分娩方法将其分为对照组和观察组,各250例,其中对照组进行阴道助产术,观察组进行剖宫产。对两组的新生儿情况进行调查分析,主要有新生儿各项评分情况、并发症发生率以及新生儿出生结局情况。结果(1)两组新生儿的各项评分比较:通过对两组新生儿的检查数据进行对比分析,其结果为与对照组相比,观察组的各项评分都更高,两组对比具有统计学差异(P<0.05)。(2)两组新生儿的并发症发生情况比较:通过对两组新生儿的并发症发生数据进行整理分析,其结果为与对照组相比,观察组新生儿的并发症发生率更低,两组对比具有统计学差异(P<0.05)。(3)两组新生儿的出生结局比较:通过对两组新生儿的出生结局进行整理分析,其结果为与对照组相比,观察组新生儿出现窒息、缺氧性脑病以及产妇产后出血率更低,两组对比具有统计学差异(P<0.05)。结论对于足月妊娠临产胎儿窘迫的产妇而言,进行剖宫产的临床疗效更好,可以改善新生儿的情况,预防并发症的发生。Objective To analyze the clinical effect of cesarean section and vaginal delivery in fetal distress of term pregnancy.Methods Five hundred full-term pregnant women with fetal distress in our hospital were selected as the research objects.These patients were included from January 2018 to July 2019.According to the delivery methods selected by these women,they were divided into control group and observation group,250 cases in each group.Vaginal midwifery was performed in the control group and cesarean section was performed in the observation group.The newborn condition of the two groups were investigated and analyzed,mainly including newborn condition score,complication rate and neonatal outcomes.Results (1) Comparison of the scores of the two groups of newborns:through the comparative analysis of the examination data of the two groups,the results showed that compared with the control group,the scores of the observation group were higher,and the comparison between the two groups had statistical difference (P<0.05).(2) Comparison of two groups of neonatal complications:through the analysis of the complications data of the two groups,the results showed that compared with the control group,the incidence of neonatal complications in the observation group was lower,with statistical difference between the two groups (P<0.05).(3) Comparison of birth outcomes between the two groups:the results of the analysis of the birth outcomes of the two groups of newborns,compared with the control group,the neonatal asphyxia,hypoxic encephalopathy and maternal postpartum hemorrhage rate was lower,the comparison between the two groups different (P<0.05).Conclusion The clinical effect of cesarean section is better for the parturient with fetal distress in full-term pregnancy,which can improve the complications of newborn and prevent complications.

关 键 词：剖宫产 阴道助产 足月妊娠 胎儿窘迫 

分 类 号：R719[医药卫生—妇产科学]