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目的:探讨单叶产钳在剖宫产术中助娩胎头的应用价值。方法:选取2011年2月-2013年2月在我院行剖宫产术的80例产妇作为研究对象,将其随机均分为观察组和对照组,对照组采用徒手助娩胎头,观察组采用单叶产钳助娩胎头,比较两组胎儿娩出时间、新生儿Apgar评分及母婴结局。结果:观察组胎儿娩出时间明显短于对照组,新生儿Apgar评分大于对照组,比较有显著性差异(P<0.05);观察组子宫下段裂伤、新生儿产伤及新生儿窒息发生率明显低于对照组,差异比较有统计学意义(P<0.05)。结论:在剖宫产术中采用单叶产钳助娩胎头有助于缩短胎儿娩出时间,改善母婴结局,可在临床上进一步推广应用。
Objective: To explore the application value of single-leaf forceps in cesarean section to help fetal head. Methods: Eighty maternal women undergoing cesarean section in our hospital from February 2011 to February 2013 were selected as study subjects, randomly divided into observation group and control group. The control group received hand-assisted labor to observe the fetal head The group adopted single-lobe forceps to help deliver the fetal head, and compared the time of delivery of the fetus, Apgar score of the newborn and maternal-infant outcome. Results: The fetus delivery time in the observation group was significantly shorter than that in the control group, and Apgar score in neonates was significantly higher than that in the control group (P <0.05). The incidence of laceration in the lower uterine segment, neonatal birth injury and neonatal asphyxia were significantly higher in observation group Lower than the control group, the difference was statistically significant (P <0.05). Conclusion: The use of single-lobe forceps to help deliver fetal head during cesarean delivery can help to shorten the delivery time of fetus and improve the outcome of maternal and infant. It can be further popularized and applied clinically.