自动娩肩法对降低巨大儿肩难产发生率的临床研究  

Clinical study on automatic shoulder delivery method to reduce the incidence of shoulder dystocia in macrosomia

作　　者：廖燕华 肖文萍 周媛 LIAO Yanhua;XIAO Wenping;ZHOU Yuan(Department of Obstetrical,Ganzhou Maternal and Child Health Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市妇幼保健院产科,江西赣州341000

出　　处：《当代医学》2024年第8期120-122,共3页Contemporary Medicine

基　　金：赣州市卫生健康委科研计划项目(2022-2-111)。

摘　　要：目的探讨自动娩肩法对降低巨大儿肩难产发生率的临床疗效。方法选取2020年1月至2021年6月赣州市妇幼保健院收治的60例巨大儿分娩产妇作为研究对象,随机分为对照组与研究组,每组30例。照组采用传统的接生方法,研究组采用自动娩肩法,比较两组产妇的肩难产发生率、产妇产道损伤、新生儿产伤率。结果研究组肩难产发生率低于对照组,差异有统计学意义(P<0.05)。研究组新生儿窒息率低于对照组,差异有统计学意义(P<0.05)。研究组新生儿产伤发生率低于对照组,差异有统计学意义(P<0.05)。结论自动娩肩法可有效减低巨大儿分娩产妇肩难产的发生,避免产妇产道损伤、新生儿窒息及产伤等情况发生,具有临床应用价值。Objective To explore the clinical effect of automatic shoulder delivery method on reducing the incidence of shoulder dystocia in mac-rosomia.Methods 60 cases of macrosomia parturient women admitted to Ganzhou Maternal and Child Health Hospital from January 2020 to June 2021 were selected as the research subjects,and they were randomly divided into the control group and the study group,with 30 cases in each group.The control group adopted the traditional delivery method,and the study group adopted the automatic shoulder delivery method,the incidence of shoul-der dystocia,maternal birth canal injury and neonatal birth injury rate were compared between the two groups.Results The incidence of shoulder dys-tocia in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The neonatal asphyxia rate in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of neonatal birth in-jury in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The automatic shoulder delivery method can effectively reduce the occurrence of shoulder dystocia in parturients with macrosomia,and avoid the occurrence of ma-ternal birth canal injury,neonatal asphyxia and birth injury,which has clinical application value.

关 键 词：巨大儿 自动娩肩法 肩难产 产道损伤 新生儿窒息 新生儿产伤 

分 类 号：R714.4[医药卫生—妇产科学]