摘要
目的探讨应用改良肩难产处理手法对产妇母婴结局的影响。方法选择2012年1月-2015年12月在医院产科发生的肩难产产妇30例作为对照组,选择2016年1月-2019年12月发生的肩难产产妇30例作为研究组,对照组产妇采用传统娩肩法,研究组产妇采用改良肩难产处理手法。分析两组产妇肩难产致产妇产伤发生率、新生儿产伤的发生率、新生儿Apgar评分,以及两组产妇的产后出血发生率。结果在产妇新生儿锁骨骨折、肱骨骨折,新生儿臂丛神损伤发生率方面,研究组均显著低于对照组(P<0.05);在产妇新生儿Apgar评分方面,研究组显著高于对照组(P<0.05);在产妇会阴Ⅲ度及以上裂伤、产后出血、产道血肿发生率方面,研究组均显著低于对照组(P<0.05)。结论应用改良肩难产处理手法有助于改善肩难产产妇母婴结局,具有一定的临床推广价值。
Objective To study the effect of improved approach to shoulder dystocia on maternal and infant outcome.Methods From January 2012 to December 2015,30 parturients with shoulder dystocia were selected as the control group and another group of 30 ones with shoulder dystocia from January 2016 to December 2019 were selected as the study group.The study group received the improved approach to shoulder dystocia,and the control group adopted the traditional delivery.The two groups were treated with HELPERR and then compared in terms of the incidence of injury of parturients,the incidence of neonatal birth injury,neonatal Apgar score,and the incidence of postpartum hemorrhage.Results The incidence of clavicle fracture,humerus fracture and brachial plexus injury in the study group was lower than that in the control group,with statistical difference(P<0.05).The Apgar score in the study group was higher than that in the control group,with statistical difference(P<0.05).The degree of perineum laceration in the study group was lower than that in the control group,with statistical difference(P<0.05).The incidence of postpartum hemorrhage and hematoma of birth canal in the study group was lower than that in the control group,with statistical difference(P<0.05).Conclusion The application of improved approach to shoulder dystocia can improve the maternal and infant outcome of shoulder dystocia,which is worthy of clinical application.
作者
邓惠玲
甘玉杰
廖柳琴
梁月婵
陈晓媚
吴静芝
DENG Huiling;GAN Yujie;LIAO Liuqin;LIANG Yuechan;CHEN Xiaomei;WU Jingzhi(Zhongshan Boai Hospital(Zhongshan Maternal and Children’s Health Care Centre),Zhongshan 528400,China)
出处
《现代医院》
2020年第8期1232-1234,共3页
Modern Hospitals
关键词
肩难产
自然分娩
母婴安全
Shoulder dystocia
Natural childbirth
Maternal and child safety
