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目的分析肩难产发生的原因,探讨肩难产的临床发生率、高危因素及处理措施。方法选择2005年3月—2012年3月收治的46例肩难产的产妇为观察组,随机抽取同期阴道顺产分娩的50例产妇为对照组,比较两组产妇、婴儿情况及并发症。结果观察组婴儿的身长、胸围、体重分别为(52.7±2.8)cm、(35.8±1.2)cm和(4 006.7±437.3)g,与对照组比较差异均有统计学意义(均P<0.05)。结论肩难产是产科的急诊范围,要求医护人员迅速做出反应并处理,以减少肩难产导致的并发症。
Objective To analyze the causes of shoulder dystocia and to discuss the clinical incidence, risk factors and treatment measures of shoulder dystocia. Methods Forty-six cases of shoulder dystocia admitted from March 2005 to March 2012 were selected as the observation group. Fifty cases of vaginal delivery during the same period were selected as the control group. The maternal and infant conditions and complications were compared between the two groups. Results The body length, chest circumference and body weight of infants in observation group were (52.7 ± 2.8) cm, (35.8 ± 1.2) cm and (4006.7 ± 437.3) g respectively, which were significantly different from those in control group (all P <0.05) . Conclusions Shoulder dystocia is the obstetric emergency area, requiring medical staff to respond quickly and deal with it to reduce the complications caused by shoulder dystocia.