产时超声联合Kielland’s产钳的临床应用  

Clinical application of intrapartum ultrasound combined with Kielland’s forceps

作　　者：赵罡 张晓兴 舒艳 陈亚宁 ZHAO Gang;ZHANG Xiaoxing;SHU Yan;CHEN Yaning(Department of Obstetrics,Huzhou Maternity and Child Health Care Hospital,Huzhou 313000,Zhejiang,China;Department of Ultrasound,Huzhou Maternity and Child Health Care Hospital,Huzhou 313000,Zhejiang,China)

机构地区：[1]湖州市妇幼保健院产科,浙江湖州313000 [2]湖州市妇幼保健院超声科,浙江湖州313000

出　　处：《中国现代医生》2023年第20期40-43,共4页China Modern Doctor

基　　金：湖州市科技计划项目(2019GY37)。

摘　　要：目的观察产时超声联合Kielland’s产钳在第二产程中的应用效果。方法选取2020年8月至2022年8月在湖州市妇幼保健院进行足月分娩的产妇350例进行回顾性分析,根据应用超声辅助Kielland’s产钳助产情况,分为观察组(n=242)和对照组(n=108)。观察组在第二产程中应用超声辅助Kielland’s产钳进行助产分娩,对照组进行二程剖宫产。比较两组产妇和新生儿的并发症情况,包括产妇产后出血、绒毛膜羊膜炎、产后尿潴留、产后发热等,以及新生儿窒息和新生儿重症监护病房(neonatal intensive care unit,NICU)入住情况。结果观察组的产后出血、绒毛膜羊膜炎及住院天数均低于对照组,产后尿潴留发生率高于对照组,差异均有统计学意义(P<0.05);两组的新生儿NICU入住率及窒息率比较,差异均无统计学意义(P>0.05)。结论产时超声联合辅助Kielland’s产钳分娩,不仅不增加产妇或新生儿不良妊娠结局的发生,反而可以实现阴道助产,改善分娩结局,降低剖宫产率。Objective To observe the effect of intrapartum ultrasound combined with Kielland’s forceps in the second stage of labor.Methods A total of 350 cases of full-term delivery in Huzhou Maternity and Child Health Care Hospital were selected for retrospective analysis and divided into an observation group(n=242)and a control group(n=108)based on the application of intrapartum ultrasound combined with Kielland’s forceps to assist delivery.In the observation group,intrapartum ultrasound combined with Kielland’s forceps were applied during the second stage of labor for assisted labor delivery,while the control group underwent a second stage caesarean section.Maternal and neonatal complications,including postpartum haemorrhage,chorioamnionitis,postpartum urinary retention and postpartum fever,as well as neonatal asphyxia and admission to the neonatal intensive care unit(NICU),were compared between the two groups.Results In the observation group,postpartum haemorrhage,chorioamnionitis and the number of days in hospital were lower than those in the control group,and the incidence of postpartum urinary retention was higher than that in the control group,all differences were statistically significant(P<0.05).There was no statistically significant difference between the two groups in terms of NICU admission rate and neonatal asphyxia rate(P>0.05).Conclusion Instead of increasing the incidence of adverse maternal or neonatal pregnancy outcomes,intrapartum ultrasound combined with Kielland’s forceps Kielland’s forceps delivery during labor allows for vaginal assisted labor,which can improve labor outcomes and reduce caesarean section rates.

关 键 词：胎位不正 产时超声 手术阴道分娩 旋转产钳 Kielland’s产钳 母婴分娩结局 

分 类 号：R714.44[医药卫生—妇产科学]