摘要
目的研究一次性胎头真空吸引器在助产中的应用及对降低剖宫产率的作用。方法200例阴道自然分娩产妇随机分为观察组(一次性胎头真空吸引器助产)与对照组(产钳助产),每组100例。比较2组产妇分娩相关指标、脐动脉血气指标、剖宫产率、会阴裂伤程度以及产妇并发症发生率。结果2组新生儿Apgar评分比较差异无统计学意义(P>0.05),但产时出血量、第二产程时间较对照组短(P<0.05);观察组脐动脉血气pH值分布与对照组比较差异有统计学意义(P<0.05);观察组剖宫产率低于对照组(P<0.05),2组转剖宫产率、新生儿产伤率差异无统计学意义(P>0.05);观察组会阴侧切率及产后出血发生率较对照组低(P<0.05),观察组会阴裂伤程度较对照组轻(P<0.05);3个年度自然分娩转剖宫产率呈逐年下降趋势,助产率呈逐年递增趋势,产钳使用率逐年下降,胎吸使用率逐年上升(P<0.05);观察组产妇并发症发生率低于对照组(P<0.05)。结论一次性胎头真空吸引器在助产中的应用,能够防止分娩期间胎儿窘迫引起的脐动脉血气pH值降低,降低剖宫产率及并发症,缩短产程,安全可靠,可在产科广泛推广。
Objective To investigate the effects of one-time fetal head vacuum aspirator in midwifery in decreasing cesarean section rate.Methods A total of 200 puerpera who underwent spontaneous vaginal delivery in our hospital from June 2019 to November 2020 were enrolled in the study,who were randomly divided into observation group(one-time fetal head vacuum suction assisted delivery)and control group(forceps assisted delivery),with 100 cases in each group.The related indexes,umbilical artery blood gas index,cesarean section rate,perineal laceration degree and the incidence rate of complication rate were observed and compared between the two groups.Results There were no significant differences in Apgar scores between the two groups(P>0.05),however,the postpartum hemorrhage volume and the duration of second stage of labor in observation group were significantly shorter than those in the control group(P<0.05).There were significant differences in arterial blood gas pH values between the two groups(P<0.05).Moreover the cesarean section rates in observation group were significantly lower than those in the control group(P<0.05).However there were no significant differences in the transforming cesarean section rate and neonatal birth injury rate between the two groups(P>0.05).The incidence rate of postpartum hemorrhage and lateral episiotomy in observation group were significantly lower than those in control group(P<0.05).And the transforming cesarean section rate and utilization rate of obstetrical forceps in the three years were decreased year by year,however,the midwifery rate and rate of fetus aspiration were increased year by year.In addition the incidence rate of maternal complications in observation group was significantly lower than that in the control group(P<0.05).Conclusion The application of one-time fetal head vacuum aspirator in midwifery can prevent the decrease of Ph of umbilical artery blood caused by fetal distress during delivery,reduce the cesarean section rate and the incidence of complications,shorten labor course,with safety and reliability,therefore,it can be widely used in clinical practice.
作者
张浩济
张燕
周立娜
贺红霞
ZHANG Haoji;ZHANG Yan;ZHOU Lina(Department of Obstetrics,The Sixth Hospital of Shijiazhuang City,Hebei,Shijiazhuang 050000,China)
出处
《河北医药》
CAS
2021年第15期2302-2305,共4页
Hebei Medical Journal
基金
石家庄市科学技术研究与发展计划项目(编号:191460633)。
关键词
一次性胎头真空吸引器
助产
剖宫产
产程
会阴裂伤
并发症
disposable fetal head vacuum extractor
midwifery
cesarean section
labor process
perineal laceration
complications
