摘要
目的对比分析一次性胎头吸引器与产钳阴道助产的分娩结局。方法方便选择2021年1-12月张家港市第一人民医院分娩的产妇91名为研究对象,按照抛硬币法将产妇分为胎吸组(n=39)与产钳组(n=52)。胎吸组采用一次性胎头吸引器分娩,产钳组采用产钳阴道助产,对两组产妇助产操作时间、总产程时间、术中出血量、术后出血量、产妇不良分娩结局、新生儿不良结局进行观察比较。结果两组助产操作时间、总产程时间对比,差异无统计学意义(P>0.05)。胎吸组术中出血量为(183.34±20.63)mL、术后出血量为(300.44±30.14)mL,均明显少于产钳组,差异有统计学意义(t=6.952、5.328,P<0.05)。胎吸组产后出血(2.56%)、会阴水肿(5.13%)、阴道壁裂伤(5.13%)、尿潴留(7.69%)发生率均明显低于产钳组,差异有统计学意义(χ^(2)=6.727、4.674、5.515、4.607,P<0.05)。胎吸组新生儿头皮下血肿发生率(17.95%)明显高于产钳组,差异有统计学意义(χ^(2)=5.279,P<0.05);两组新生儿窒息、面部损伤发生率比较,差异无统计学意义(P>0.05)。结论与产钳阴道助产相比,应用一次性胎头吸引器分娩的效果更好,能够显著改善产妇分娩结局,但会在一定程度上提高新生儿头皮下血肿发生风险。
Objective To compare and analyze the labor outcomes of disposable fetal head aspirator and forceps vaginal assisted delivery.Methods 91 women who delivered in Zhangjiagang First People's Hospital from January to December 2021 were conveniently selected as the study subjects,and divided into the fetal suction group(n=39)and the forceps group(n=52)according to the coin toss method.The fetal aspiration group was delivered with a disposable fetal head attractor,and the forceps group used forceps vaginal midwifery.The duration of assisted labor,total duration of labor,intraoperative bleeding,postoperative bleeding,adverse maternal outcomes,and adverse neonatal outcomes were observed and compared between the two groups.Results There was no statistically significant difference between the two groups in terms of operation time and total labor time(P>0.05).The intraoperative bleeding in the fetal suction group was(183.34±20.63)mL and postoperative bleeding was(300.44±30.14)mL,which were significantly less than those in the forceps group,and the differences were statistically significant(t=6.952,5.328,P<0.05).The incidence of postpartum hemorrhage(2.56%),perineal edema(5.13%),vaginal wall laceration(5.13%),and urinary retention(7.69%)were significantly lower in the fetal suction group than in the forceps group,and the differences were statistically significant(χ^(2)=6.727,4.674,5.515,4.607,P<0.05).The incidence of subscalp hematoma in neonates in the fetal suction group(17.95%)was significantly higher than that in the forceps group,and the difference was statistically significant(χ^(2)=5.279,P<0.05);comparison of the incidence of neonatal asphyxia and facial injury in the two groups,the difference was not statistically significant(P>0.05).Conclusion Compared with forceps vaginal delivery,the use of disposable fetal head suction is more effective and can significantly improve maternal outcome,but it will increase the risk of neonatal subscalp hematoma to some extent.
作者
奚星澍
冯丽英
张宽
XI Xingshu;FENG Liying;ZHANG Kuan(Department of Obstetrics and Gynecology,Zhangjiagang First People's Hospital,Zhangjiagang,Jiangsu Province,215600 China)
出处
《中外医疗》
2022年第34期99-102,107,共5页
China & Foreign Medical Treatment
关键词
一次性胎头吸引器
产钳阴道助产
出血量
分娩结局
新生儿结局
Disposable fetal head aspirator
Forceps vaginal delivery
Bleeding
Labor outcome
Neonatal outcome
