低位产钳在持续性枕后位难产中的应用分析  

Clinical analysis of low forceps midwifery assistance in persistent occiput posterior dystocia

作　　者：荀生丽 XUN Shengli(Department of Gynecology and Obstetrics,Yangzhou Maternity and Child Health Care Hospital,Affiliated Hospital of Yangzhou University,Yangzhou 225002,Jiangsu,China)

机构地区：[1]扬州市妇幼保健院扬州大学附属医院妇产科,江苏扬州225002

出　　处：《中国现代医生》2024年第9期48-50,54,共4页China Modern Doctor

摘　　要：目的探讨低位产钳助娩术在持续性枕后位难产中的临床应用效果。方法回顾性分析2020年10月至2023年3月在扬州市妇幼保健院住院分娩的持续性枕后位难产产妇120例,其中采取子宫下段剖宫产术结束分娩的70例产妇为A组,低位产钳助娩术结束分娩的20例产妇为B组,自然分娩的30例产妇为C组。分析三组产妇的分娩结局。结果A组产妇术后住院时间、住院费用明显高于B组及C组(P<0.05);A、B两组产妇产时出血量均高于C组(P<0.05);A、B两组产时出血量比较,差异无统计学意义(P>0.05);B组和C组产妇产道损伤比较,差异无统计学意义(P>0.05);三组新生儿产伤情况比较,差异无统计学意义(P>0.05)。结论正确处理持续性枕后位难产产程,尽量协助产妇自然分娩,应用低位产钳助娩术可减少产妇术后住院时间及住院费用,不增加产道损伤及新生儿产伤发生率。Objective To discuss the clinical effect of low forceps midwifery in persistent occiput posterior dystocia.Methods A retrospective analysis of 120 parturients with persistent occiput posterior dystocia were admitted to Yangzhou Maternity and Child Health Care Hospital from October 2020 to March 2023.70 cases with lower uterine cesarean section were in group A.20 cases with lower forceps midwifery were in group B.30 cases with spontaneous deliveries were in group C.Results The postoperative hospitalization time and hospitalization cost of group A were significantly higher than those of group B and group C(P<0.05).In both groups A and B,the intrapartum bleeding volume was higher than that in group C(P<0.05),but there was no significant difference in groups A and B(P>0.05);There was no significant difference in birth canal injury between groups B and C(P>0.05).Neonatal birth injuries were not significantly different among the three groups(P>0.05).Conclusion It’s important for us to assist the pregnant woman of persistent occiput posterior dystocia in a natural delivery with proper management.The application of low forceps delivery midwifery can reduce the postoperative hospital stay and hospitalization cost,and does not increase the incidence of birth canal injury and neonatal birth injury.

关 键 词：低位产钳助产术 持续性枕后位难产 剖宫产 并发症 

分 类 号：R719.6[医药卫生—妇产科学]