头位难产产妇以低位产钳助产与中转剖宫产的结局对比  

Comparison of Outcomes Between Forceps Assisted Delivery and Cesarean Section in Women with Head Dystocia

作　　者：江山娇 裴乐妹 JIANG Shanjiao;PEI Lemei(Department of Gynecology and Obstetrics,Wuyishan Municipal Hospital,Nanping,Fujian 354300,China)

机构地区：[1]武夷山市立医院妇产科,福建南平543000

出　　处：《中国医药指南》2025年第5期83-85,共3页Guide of China Medicine

摘　　要：目的分析头位难产产妇采取低位产钳助产和中转剖宫产的影响。方法选取2019年1月至2024年1月武夷山市立医院收治的60例头位难产产妇分为两组,将采取剖宫产分娩的产妇纳入对照组(30例),将采取低位产钳助娩术分娩的产妇纳入观察组(30例),对比两组围手术期指标、产妇并发症发生率、新生儿并发症发生情况。结果观察组围生期指标(从决策到分娩时间、出血量、分娩后首次下床活动时间、住院时间、治疗费用)优于对照组(均P<0.05);观察组新生儿出生后1 min、5 min、10 min Apgar评分高于对照组(均P<0.05);两组产妇并发症发生率、新生儿并发症发生率对比,差异无统计学意义(均P>0.05)。结论头位难产产妇在分娩时选择低位产钳助产术助产可减少产妇出血量,缩短产妇住院时间,不增加产妇、新生儿并发症发生风险,可以有效改善母婴结局。Objective To analyze the effects of low forceps delivery and cesarean section in women with head dystocia.Methods A total of 60 cases of cephalic dystocia in women admitted to Wuyishan City Hospital from January 2019 to January 2024 were divided into two groups.The group of 30 women who underwent cesarean section was included as the control group,while the group of 30 women who underwent low forceps-assisted delivery was included as the observation group.The perioperative indicators,maternal complication rates,and neonatal complication rates were compared between the two groups.Results The perinatal indicators of the observation group(time from decision to delivery,blood loss,time tofirst postpartum ambulation,hospital stay,and treatment costs)were superior to those of the control group(all P<0.05).The Apgar scores of the newborns in the observation group at 1 minute,5 minutes,and 10 minutes after birth were higher than those in the control group(all P<0.05).There was no significant difference in the incidence of maternal complications and neonatal complications between the two groups(both P>0.05).Conclusions The choice of low forceps during delivery can reduce the amount of maternal bleeding,shorten the length of hospital stay,do not increase the risk of maternal and neonatal complications,and can effectively improve maternal and infant outcomes.

关 键 词：头位难产 助产 剖宫产 妊娠结局 产后出血 阴道分娩 

分 类 号：R719.8[医药卫生—妇产科学]