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目的:探讨新旋肩法处理肩难产的临床效果,以便为肩难产的处理提供新的方法。方法:2008年1月～2012年1月间在该院进行阴道分娩的65例肩难产产妇,分为采用新旋肩法处理治疗组产妇32例和采用McRoberts处理的33例产妇,比较两组产妇新生儿并发症发生情况。结果:治疗组在新生儿窒息的发生比例明显低于对照组新生儿,差异具有统计学意义(P<0.01),臂丛神经损伤的发生比例明显低于对照组新生儿,差异具有统计学意义(P<0.05)。结论:新旋肩法能显著减少肩难产新生儿并发症的发生,并且操作简单,值得临床广泛推广应用。
Objective: To explore the clinical effect of shoulder shoulder dystocia treatment with new rotary shoulder method in order to provide a new method for the treatment of shoulder dystocia. Methods: From January 2008 to January 2012, 65 cases of shoulder dystocia delivered vaginally in the hospital were divided into two groups: 32 cases treated with new round shoulders method and 33 cases treated with McRoberts, Maternal neonatal complications. Results: The incidence of neonatal asphyxia in the treatment group was significantly lower than that in the control group, the difference was statistically significant (P <0.01), the incidence of brachial plexus injury was significantly lower than that of the control group, the difference was statistically significant (P <0.05). Conclusion: The new rotary shoulder method can significantly reduce the incidence of complications of newborns with shoulder dystocia, and the operation is simple, it is worth widely clinical application.