低位产钳术与剖宫产术在第二产程延长或停滞产妇中的应用效果比较  

Comparison of application effects of low forceps delivery and cesarean section in parturients with prolonged or arrested second stage of labor

作　　者：李惠丽 薛占华 LI Huili;XUE Zhanhua(Department of Obstetrics of Puyang Maternal and Child Health Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市妇幼保健院产科,河南濮阳457000

出　　处：《中国民康医学》2024年第22期148-150,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较低位产钳术与剖宫产术在第二产程延长或停滞产妇中的应用效果。方法:回顾性分析2019年10月至2023年10月于该院行阴道试产且第二产程延长或停滞的116例产妇的临床资料,根据分娩方式的不同将其分为剖宫产组(n=62)和低位产钳组(n=54),比较两组围产期指标(第二产程时间、产时出血量、产后出血量)水平和住院时间,新生儿体质量和脐带血pH,并发症发生率及新生儿结局。结果:低位产钳组第二产程时间、住院时间均短于剖宫产组,产时出血量、产后出血量均少于剖宫产组,差异有统计意义(P<0.05);两组新生儿体质量、脐带血pH比较,差异均无统计学意义(P>0.05);两组并发症发生率比较,差异均无统计学意义(P>0.05);低位产钳组新生儿酸中毒和头皮血肿发生率均低于剖宫产组,差异有统计学意义(P<0.05);两组新生儿窒息、皮肤损伤发生率比较,差异均无统计学意义(P>0.05)。结论:低位产钳术应用于第二产程延长或停滞产妇可缩短第二产程时间和住院时间,减少产时和产后出血量,以及降低新生儿酸中毒、头皮血肿发生率的效果优于剖宫产术。Objective:To compare application effects of low forceps delivery and cesarean section in parturients with prolonged or arrested second stage of labor.Methods:The clinical data of 116 parturients who underwent vaginal trial production and prolonged or arrested second stage of labor in this hospital from October 2019 to October 2023 were retrospectively analyzed.According to the different modes of delivery,they were divided into cesarean section group(n=62)and low forceps delivery group(n=54).The levels of perinatal indicators(second stage of labor time,intrapartum hemorrhage,postpartum hemorrhage)and hospitalization time,the neonatal body mass,the umbilical cord blood pH,the incidence of complications,and the neonatal outcomes were compared between the two groups.Results:The second stage of labor time and the hospitalization time in the low forceps delivery group were shorter than those in the cesarean section group,the amount of intrapartum hemorrhage and postpartum hemorrhage were less than those in the cesarean section group,and the differences were statistically significant(P<0.05).Further,the incidence of neonatal acidosis and scalp hematoma in the low forceps delivery group was lower than that in the cesarean section group,and the difference was statistically significant(P<0.05).Conclusions:The low forceps delivery group in the parturients with prolonged or arrested second stage of labor can shorten the time of second stage of labor and the hospitalization,reduce the amount of intrapartum and postpartum hemorrhage,and reduce the incidence of neonatal acidosis and scalp hematoma.Moreover,it is superior to cesarean section.

关 键 词：低位产钳术 剖宫产术 第二产程 延长 停滞 新生儿结局 

分 类 号：R719[医药卫生—妇产科学]