摘要
目的分析低位产钳助产术应用于产科分娩过程中的效果及其并发症。方法选取2014年3月~2016年10月我院收治的头位难产产妇89例为研究对象,根据助产方式不同将其分为观察组(n=44例)与对照组(n=45例)。其中,观察组44例产妇进行低位产钳助产术分娩,对照组45例产妇行剖宫产术分娩。观察比较两组不同助产方式产妇产后出血、产褥感染、软产道损伤等并发症的发生情况及两组新生儿面部擦伤、头皮血肿及新生儿窒息的发生情况等,比较两组产妇住院时间及抗生素使用情况。结果观察组产妇产后出血、产褥感染及软产道损伤的发生率明显低于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组新生儿面部擦伤、头皮血肿及新生儿窒息的发生率明显低于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组产妇住院时间明显短于对照组,产妇产后使用抗生素比例也明显低于对照组,差异有统计学意义(P<0.05)。结论与剖宫产术比较,低位产钳助产术可有效降低产妇及新生儿产后并发症的发生率,改善母婴预后效果,缩短住院时间,降低抗生素药物的使用,提高安全分娩,值得临床推广应用。
Objective To analyze the effect and complications of midwifery by low position forceps in the process of obstetric delivery.Methods 89 puerpera with dystocia of cephalic presentation who were admitted to our hospital from March 2014 to October 2016 were selected as the study subjects.According to different modes of midwifery,the patients were divided into the observation group（n=44） and the control group（n=45）.Among them,44 puerpera in the observation group were given midwifery pregnancy by low position forceps.45 puerpera in the control group were given maternal cesarean delivery.The incidence of complications such as postpartum hemorrhage,puerperal infection,soft birth canal injury,as well as the occurrence of neonatal facial abrasions,scalp hematoma and neonatal asphyxia in the two groups of puerpera receiving different modes of midwifery were observed and compared.The length of stay and application of antibiotics of puerpera were compared between the two groups.Results The incidence rate of postpartum hemorrhage,puerperal infection and soft birth canal injury after the surgery in the observation group was significantly lower than that in the control group,the differences were statistically significant（P〈0.05）;compared with the control group,the incidence rate of neonatal facial abrasion,scalp hematoma and neonatal asphyxia was significantly lower in the observation group than in the control group,the differences were statistically significant（P〈0.05）;compared with the control group,the length of stay in the observation group was significantly shorter than that in the control group,and the proportion of postpartum antibiotics use was significantly lower than that in the control group,the differences were statistically significant（P〈0.05）.Conclusion Compared with cesarean section,midwifery by low position forceps can effectively reduce maternal and neonatal postpartum complications,improve the effect of maternal and child prognosis,shorten the hospital stay,reduce the use of antibiotics,and improve the safe delivery,which is worthy of clinical popularization and application.
出处
《中国当代医药》
2017年第25期94-96,共3页
China Modern Medicine
关键词
低位产钳助产术
产科
头位难产
阴道分娩
Midwifery by low position forceps
Obstetrics
Dystocia of cephalic presentation
Vaginal delivery
