难产产妇处理中手旋转胎头术的应用效果及其对新生儿神经行为的影响  被引量:1

Effect of hand rotation of fetal head in the management of dystocia and its influence on neurobehavior of newborn.

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作  者:邵美丽 王少丽 林琳 吉婷 SHAO Mei-li;WANG Shao-li;LIN Lin(Department of Obstetrics,Northwest Women and Children's Hospital,Xi'an Shaanxi 710061,China;Department of Obstetrics,XD Group Hospital,Xi'an Shaanxi 710077,China)

机构地区:[1]西北妇女儿童医院产科,陕西西安710061 [2]西电集团医院妇产科,陕西西安710077

出  处:《临床和实验医学杂志》2023年第24期2652-2655,共4页Journal of Clinical and Experimental Medicine

基  金:陕西省重点研发计划项目(编号:2018SF-78)。

摘  要:目的探讨手旋转胎头术在难产产妇处理的应用效果及其对新生儿神经行为的影响。方法回顾性选取2021年2月至2023年2月西北妇女儿童医院难产产妇180例,依据处理方法分为手旋转胎头术组和常规助产分娩组两组,各90例。对比分析两组助产结局、第二产程时间、总分娩时间、产后出血量、产妇并发症发生情况、新生儿并发症发生情况及新生儿神经行为。结果手旋转胎头术组产妇的助产成功率为97.78%,明显高于常规助产分娩组(82.22%),转产钳助产率、转剖宫产率分别为0、2.22%,均明显低于常规助产分娩组(8.89%、8.89%),差异均有统计学意义(P<0.05)。手旋转胎头术组产妇的第二产程时间和总分娩时间分别为(25.38±5.10)min、(2.00±0.20)h,均明显短于常规助产分娩组[(34.26±6.02)min、(2.46±0.50)h],产后出血量为(231.57±18.46)mL,明显少于常规助产分娩组[(321.35±30.01)mL],差异均有统计学意义(P<0.05)。两组产妇的并发症发生率(20.00%vs.15.56%)比较,差异无统计学意义(P>0.05)。手旋转胎头术组新生儿并发症发生率为11.11%,明显低于常规助产分娩组(33.33%),差异有统计学意义(P<0.05)。处理后,两组新生儿的原始反射、一般反应、被动肌张力、主动肌张力、行为能力评分及NBNA总分均明显高于处理前,且手旋转胎头术组新生儿的原始反射、一般反应、被动肌张力、主动肌张力、行为能力评分及NBNA总分均明显高于常规助产分娩组,差异均有统计学意义(P<0.05)。结论与常规助产分娩相比,手旋转胎头术处理难产产妇助产成功率更高,产妇情况更好,新生儿并发症发生率更低,新生儿神经行为更佳,应用效果更好。Objective To explore the application effect of hand rotation fetal head surgery in the management of difficult delivery women and its impact on neonatal neurobehavior.Methods A retrospective study was conducted on 180 dystocia women in Northwest Women and Children's Hospital from February 2021 to February 2023.They were divided into two groups based on the treatment method:the hand rotating fetal head surgery group and the conventional midwifery delivery group,with 90 cases in each group.The outcomes of two groups of midwifery,second stage of labor time,total delivery time,postpartum bleeding volume,incidence of maternal complications,incidence of neonatal complications,and neonatal neurological behavior were compared and analyzed.Results The success rate of assisted delivery in the hand rotating fetal head surgery group was 97.78%,which was significantly higher than that in the conventional assisted delivery group(82.22%),and the rates of forceps assisted delivery and cesarean section were 0,2.22%,which were significantly lower than those in the conventional assisted delivery group(8.89%,8.89%),the differences were statistically significant(P<0.05).The second stage of labor and total delivery time of the hand rotating fetal head surgery group were(25.38±5.10)min,(2.00±0.20)h,which were significantly shorter than those of the conventional assisted delivery group[(34.26±6.02)min,(2.46±0.50)h],and the postpartum bleeding volume was(231.57±18.46)mL,which was significantly lower than that of the conventional assisted delivery group[(321.35±30.01)mL],the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups of postpartum women(20.00%vs.15.56%)(P>0.05).The incidence of neonatal complications in the hand rotation fetal head surgery group was 11.11%,which was significantly lower than that in the conventional midwifery delivery group(33.33%),the difference was statistically significant(P<0.05).After treatment,the

关 键 词:难产 常规助产分娩 手旋转胎头术 助产结局 产妇并发症 新生儿并发症 新生儿神经行为 

分 类 号:R717[医药卫生—妇产科学]

 

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