摘要
目的探索异常分娩中臀位助产术的应用效果。方法选取我院2016年3月—2017年8月收治的100例异常分娩产妇作为研究对象。入选后对产妇随机均分为两组,给予观察组产妇行臀位助产术助产,给予对照组产妇剖宫产分娩。分娩结束后,对比两组产妇分娩情况,分析臀位助产术在其中的应用价值。结果相较于对照组围生儿,观察组围生儿并发症的组内发生率和病死率更高,但组间比较,差异无统计学意义(P>0.05);相较于对照组,观察组分娩后SAS、SDS评分明显更低,组间比较,差异具有统计学意义(P<0.05)。结论在异常分娩产妇分娩过程中使用臀位助产术助产是切实可行的,在臀位助产术的辅助下,围生儿病死率和不良反应发生率不会增加,且无需手术,产妇术后合并负性情绪的概率更小、恢复更快,有着较高的临床应用价值。
Objective To explore the application effect of buttock midwifery during abnormal delivery. Methods 100 cases of abnormal delivery women admitted to our hospital from March 2016 to August 2017 were selected as research subjects. After being selected, the mothers were randomly divided into two groups： the observation group was given breech delivery and midwifery, and the control group was given cesarean section. After delivery, the delivery conditions of the two groups were compared, and the application value of breech midwifery was analyzed. Results Compared to the control group perinatal, the incidence of perinatal complications in the observation group was higher and the mortality rate was higher, but there was no signifcant difference between the groups （P 〉 0.05）. Compared with the control group, the SAS and SDS scores of the observation group were signifcantly lower than those of the control group, and the difference between the two groups was statistically signifcant （P 〈 0.05）. Conclusion It is feasible to use breech midwifery in midwifery delivery. With the help of breech assisted midwifery, the incidence of perinatal mortality and adverse reactions will not increase, and there will be no need for surgery. The probability of negative emotion combined with postoperative recovery is faster and has higher clinical value.
作者
田辉
TIAN Hui(Department of Gynaecology and Obstetrics,Shayang County People＇s Hospital,Jingmen Hubei 448200,Chin)
出处
《中国继续医学教育》
2018年第22期81-83,共3页
China Continuing Medical Education
关键词
异常分娩
臀位助产术
剖宫产
治疗效果
并发症
病死率
焦虑程度
抑郁程度
abnormal labor
breech production
cesarean section
therapeutic effect
complications
case fatality rate
the degree of anxiety
the degree of depression
