摘要
目的:研究三维导航系统在基层医院新产程的应用及母婴结局的临床价值。方法:选取产科2017年5月至2018年7月初产妇560例,按照不同产程监测方式分为观察组(n=280)采用三维导航系统监测和对照组(n=280)采用传统手段监测,分别比较两组产妇剖宫产率,母婴结局(产后出血率、感染率、新生儿窒息)。结果:观察组产妇剖宫产率18.21%、产褥感染率2.86%明显低于对照组剖宫产率27.14%,产褥感染率3.21%,差异均具有统计学意义(P<0.05),观察组产后出血及新生儿窒息发生率略高于对照组但差异无统计学意义(P>0.05)。结论:三维导航系统可提高基层医院初产妇应用新产程时的分娩质量,未增加不良母婴结局风险,值得基层医院推广使用。
Objective:To study the application of three-dimensional navigation system in new labor in primary hospitals and the clinical value of maternal and fetal outcomes.Methods:A total of 560 primiparas from the Department of Obstetrics between May 2017 and July 2018 were divided into the observation group(n=280,three-dimensional navigation system)and the control group(n=280,traditional method)according to different labor monitoring methods(n=280).The maternal cesarean section rate and maternal and child outcomes(postpartum hemorrhage rate,infection rate,neonatal asphyxia)were compared.Results:In the observation group,the cesarean section rate and the puerperal infection rate were significantly lower than those of the control group(18.21%vs.27.14%,2.86%vs.3.21%,P<0.05).The incidence of postpartum hemorrhage and neonatal asphyxia in the observation group was slightly higher than that of the control group(P>0.05).Conclusions:The three-dimensional navigation system can improve the quality of delivery during the new stage of labor application in primary hospitals,which does not increase the risk of adverse maternal and child outcomes and is worthy of promotion in primary hospitals.
作者
王云青
李铭
李涛
李静娟
WANG Yun-qing;LI Ming;LI Tao(Obstetrical Department of Tangxian People's Hospital,Baoding 072350,Hebei Province,P.R.C.)
出处
《中国数字医学》
2020年第3期13-15,共3页
China Digital Medicine
基金
农村基层医院新产程应用对母儿结局影响的临床研究(编号:18ZF298)。
关键词
三维导航系统
新产程
新生儿
产妇
three-dimensional navigation system
new labor
newborn
maternal