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目的:探讨腹膜外横切口剖宫产术中取胎头困难时应用产钳的可行性和疗效。方法:选择2008-01/2008-12在我院住院需行剖宫产的孕妇200例为研究对象,其中研究组100例,对照组100例,研究组与对照组在年龄、孕周、术前估计胎儿体重等方面比较差异无统计学意义。结果:该研究发现剖宫产术中应用产钳助娩胎头时间明显短于对照组,研究组新生窒息发生率明低于对照组。另外在新生儿颅内出血、吸入性肺炎、切口撕裂、产后出血等并发症方面研究组的发病率均显著低于对照组,差异有统计学意义。结论:在行腹膜外横切口剖宫产手术中发生徒手取胎头困难时,及时应用产钳协助胎头娩出时安全可行的,可以减少新生儿窒息,值得推广使用。
Objective: To investigate the feasibility and efficacy of using forceps when fetus is difficult to obtain in cesarean section during peritoneal transverse incision. Methods: 200 pregnant women who were hospitalized for cesarean delivery in our hospital from January 2008 to December 2008 were selected as study objects, 100 cases in the study group and 100 cases in the control group. The age, gestational age, Pre-estimated fetal weight and other aspects of the difference was not statistically significant. Results: The study found that cesarean section using forceps to help the fetal head was significantly shorter than the control group, the study group neonatal asphyxia was lower than the control group. In addition, in neonatal intracranial hemorrhage, aspiration pneumonia, incision laceration, postpartum hemorrhage and other complications in the incidence of the study group were significantly lower than the control group, the difference was statistically significant. Conclusion: It is safe and feasible to use forceps to assist the birth of the fetal head during the cesarean section during peritoneal transverse incision, which can reduce neonatal asphyxia and is worth popularizing.