胎头吸引器与产钳助产术分娩的胎儿情况远期随访对比分析  

Comparative Analysis of Long-Term Follow-Up of Fetus Delivered by Fetal Head Aspirator and Forceps

作　　者：刘艺玮 LIU Yi-wei(Department of Obstetrics,Dalian Women and Children's Medical Center(Group),Liaoning Dalian 116000)

机构地区：[1]大连市妇女儿童医疗中心(集团)产科,辽宁大连116000

出　　处：《中国医疗器械信息》2022年第20期62-64,共3页China Medical Device Information

摘　　要：目的:探讨胎头吸引器与产钳助产术分娩的胎儿情况远期随访对比分析。方法:纳入本院收治的90例待产产妇,纳入时间为2017年8月~2019年12月,随机将90例产妇分为对照组和研究组,对照组接受产钳助产术分娩,研究组接受胎头吸引器分娩,对比两组产妇以及新生儿并发症发生状况。结果:两组产妇产后出血量相比,研究组(232.85±10.91)mL较对照组的(244.56±13.85)mL低;研究组产褥期感染率(4.44%)、软产道损伤率(2.22%)较对照组产褥期感染率(17.77%)、软产道损伤率(13.33%)低,数据差异有统计学意义(P<0.05)。对照组与研究组的新生儿产后情况对比,面部擦伤(2.22%)、头皮血肿(2.22%)发生率较对照组(11.11%)、(13.33%)低,数据差异有统计学意义(P<0.05)。研究组新生儿肺炎(2.22%)、轻度窒息(0)以及重度窒息(0)发生率与对照组新生儿肺炎(8.88%)、轻度窒息(2.22%)以及重度窒息(2.22%)发生率对比,数据差异无统计学意义(P>0.05),但是研究组发生率均低于对照组。结论:胎头吸引器与产钳助产术分娩效果对比,胎头吸引器分娩能有效降低产妇发生产褥期感染率、软产道损伤风险,降低新生儿发生窒息风险,提升新生儿的分娩质量。Objective:To investigate the comparative analysis of long-term follow-up of fetus delivered by fetal head aspirator and forceps.Methods:A total of 90 puerperae admitted to our hospital were included from August 2017 to December 2019.The 90 puerperae were randomly divided into the control group and the study group.The control group received forceps delivery,while the study group received fetal head suction.The incidence of maternal and neonatal complications was compared between the two groups.Results:The amount of postpartum hemorrhage in the study group was(232.85±10.91)mL lower than that in the control group(244.56±13.85)mL.The puerperal infection rate(4.44%)and soft birth canal injury rate(2.22%)in the study group were lower than those in the control group(17.77%,13.33%),and the difference was statistically significant(P<0.05).Compared with the control group and the study group,the incidence of facial abrasions(2.22%)and scalp hematoma(2.22%)was lower than that of the control group(11.11%)and(13.33%),and the difference was statistically significant(P<0.05).The incidence of neonatal pneumonia(2.22%),mild asphyxia(0)and severe asphyxia(0)in the study group was compared with that in the control group(8.88%),mild asphyxia(2.22%)and severe asphyxia(2.22%),with no statistical difference(P>0.05).However,the incidence of study group was lower than that of control group.Conclusion:The effect of fetal head aspirator and forceps for delivery is compared.Fetal head aspirator can effectively reduce the puerperium infection rate and the risk of soft birth canal injury,reduce the risk of neonatal asphyxia,and improve the quality of neonatal delivery.

关 键 词：胎头吸引器 产钳助产术 分娩 胎儿 远期随访 

分 类 号：R717[医药卫生—妇产科学]