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目的:探讨低位产钳术与剖宫产术对母儿预后的影响,并分析其临床应用效果及安全性。方法:选取2011年1月~2014年1月在该院住院头位经阴道试产发生第二产程延长或停滞时行低位产钳术的产妇60例为A组,另选取同样情况下行剖宫产术的产妇60例为B组,对两组临床资料进行回顾性分析,比较不同手术方法对母儿预后的影响及结局。结果:A组产妇产后出血、产褥感染、新生儿窒息和新生儿产伤发生率均低于B组,差异均有统计学意义(P均<0.05)。A组患2个或2个以上并发症的比例低于B组。结论:低位产钳术可降低母儿并发症的发生率,是解决第二产程头位难产的重要手术方法,紧急情况下使用能有效缩短第二产程,较剖宫产术更为简便迅速,有利于降低剖宫产率。
Objective: To investigate the effect of low forceps and cesarean section on the prognosis of maternal and child, and to analyze its clinical application and safety. Methods: From January 2011 to January 2014, 60 patients with low-output forceps during prolonged or delayed vaginal trial in the first hospitalized vaginal inpatient department of the hospital were selected as group A. Another group underwent cesarean section under the same conditions 60 cases of maternal surgery for the B group, the clinical data of two groups were retrospectively analyzed, the effect of different surgical methods on the prognosis of maternal and child outcomes and outcomes. Results: The incidence of postpartum hemorrhage, puerperal infection, neonatal asphyxia and neonatal birth injury in group A were all lower than those in group B (all P <0.05). A group of two or more than two complications were lower than the proportion of B group. Conclusion: Low forceps reduction can reduce the incidence of maternal and child complications, is to solve the second stage of labor an important surgical method of head dystocia, the use of emergency can effectively shorten the second stage of labor, compared with cesarean section is more simple and rapid, there Help to reduce cesarean section rate.