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目的:探索产钳助产在剖宫产术中助娩胎头的临床应用效果。方法:选取该院妇产科在2009年1月～2011年2月期间施剖宫产过程中因常规取出胎头时间大于2 min而未娩出,故而使用剖宫产产钳助产者80例,对其临床资料进行回顾性分析。结果:胎头娩出困难原因方面,由各种原因致使胎头高浮造成胎头娩出困难者有53例,占66.25%,显著高于其他原因导致胎头娩出困难的比例(P值均<0.05);其次为胎头深嵌盆腔,为12.5%;分娩结果方面,80例剖宫产产钳助产者均顺利娩出,成功率为100.0%,胎头取出时间均少于120s,无新生儿头皮擦伤、颅骨骨折或颅内出血等并发症出现,亦无新生儿死亡病例发生;新生儿Apgar评分在7分以上者69例,占86.25%,显著高于其他评分者所占的比例(P<0.05)。结论:剖宫产在遭遇取头困难时使用产钳进行助娩胎头,相比于常规徒手操作可显著缩短胎头娩出时间,并有效降低新生儿窒息等并发症的发生率,提高新生儿Apgar评分,且临床使用安全,值得临床推广应用。
Objective: To explore the clinical application of forceps midwifery in cesarean section to help fetal head. Methods: Obstetrics and Gynecology in this hospital from January 2009 to February 2011 during cesarean section because of the routine removal of the fetal head more than 2 min and not delivered, so the use of forceps cesarean section in 80 cases, The clinical data were retrospectively analyzed. Results: There were 53 cases (66.25%) of fetal head due to various causes of fetal head flotation, which was significantly higher than that of other causes (P <0.05) ); Followed by the fetal head deep embedded in the pelvis, 12.5%; delivery results, 80 cesarean section were delivered forceps were successfully delivered, the success rate was 100.0%, fetal head removal time less than 120s, no neonatal scalp There were no complications of gallbladder, skull fracture or intracranial hemorrhage. Neonatal deaths were also found. Neonatal Apgar score was above 7 points in 69 cases (86.25%), which was significantly higher than that of other scores (P < 0.05). Conclusion: Caesarean section in the face of difficulties in the use of forceps to help the childbirth fetal head, compared to conventional freehand operation can significantly shorten the fetal head delivery time and effectively reduce the incidence of complications such as neonatal asphyxia and improve neonatal Apgar Score, and clinical safety, it is worth clinical application.