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目的探讨剖宫产产钳在解决剖宫产娩头困难中的应用效果。方法将2011年8月~2013年8月在我院行剖宫产术中发生娩头困难,选用剖宫产产钳助产的76例产妇作为研究对象,回顾性分析本组产妇的分娩结局及临床资料。结果本组产妇在应用产钳后,均顺利娩出胎头,胎头娩出成功率100%。新生儿无1例发生颅内出血、颅骨骨折、头皮擦伤等并发症,无死亡病例。76例产妇中,有65.8%都是因胎头高浮而发生胎头娩出困难,胎头高浮是娩头困难的主要原因,其所占比例,显著高于其他原因(手术视野差、胎儿巨大、胎头嵌入盆腔较深、麻醉不佳),P<0.05,差异均具有统计学意义;76例新生儿有89.5%的Apgar评分都≥8分,明显高于4~7分(9.2%)及≤3分(1.3%)者,P<0.05,差异均具有统计学意义。结论在剖宫产术中发生娩头困难时,使用产钳助产能够加快胎头娩出,提高新生儿身体状况,减少新生儿并发症的发生,临床使用安全性较高,可在临床上加以推广。
Objective To investigate the effect of caesarean section on the difficulties of cesarean delivery. Methods From August 2011 to August 2013 in our hospital cesarean section occurred in the first delivery difficulties, selection of cesarean section forceps delivery of 76 cases of maternal as the research object, a retrospective analysis of the group of maternal delivery outcomes and clinical information. Results This group of mothers in the use of forceps, were delivered smoothly fetal head, fetal head delivery success rate of 100%. Neonatal no intracranial hemorrhage occurred in 1 case, skull fracture, scalp abrasions and other complications, no deaths. Among 76 maternal women, 65.8% were due to fetal head bursts due to high fetal head and fetal head bumps, which was significantly higher than other causes (poor visual field, fetal (P <0.05), and the difference was statistically significant. Among 76 neonates, 89.5% of Apgar scores were ≥8, which was significantly higher than that of 4 ~ 7 (9.2% ) And ≤3 points (1.3%), P <0.05, the differences were statistically significant. Conclusion In the cesarean section occurred when the first delivery difficulties, the use of forceps midwifery can accelerate fetal head delivery, improve neonatal physical condition and reduce the incidence of neonatal complications, high safety of clinical use, can be clinically promoted .