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目的 比较低位产钳与剖宫产对母儿影响 ,指导临床正确掌握产钳助产术。方法 对我院1992年 1月至 2 0 0 1年 12月间 112 7例低位产钳和 4 94 5例剖宫产的临床资料进行回顾性分析。结果 产妇并发症 :两组差异无显著意义 (P >0 0 5 ) ,但剖宫产组有 2例发生羊水栓塞、4例因术时出血过多行次全子宫切除术、2例因术后出血再次行剖腹探查。新生儿并发症 :低位产钳组新生儿轻度窒息高于剖宫产组 (P <0 0 1) ,而重度窒息及新生儿死亡两组比较差异无显著意义 (P >0 0 5 )。结论 低位产钳并不增加母儿并发症 ,合理应用低位产钳 ,可以在一定程度上降低剖宫产率。
Objective To compare the effect of low forceps and cesarean section on maternal and childbirth, and to guide clinical correct grasp of forceps midwifery. Methods The clinical data of 112 7 low forceps and 4 94 5 cesarean sections from January 1992 to December 2001 in our hospital were analyzed retrospectively. Results Maternal complications: There was no significant difference between the two groups (P> 0.05). However, there were 2 cases of amniotic fluid embolism in cesarean section group, 4 cases of hysterectomy due to excessive bleeding during operation, After bleeding again exploratory laparotomy. Neonatal complications: Mild asphyxia in low forceps group was higher than that in cesarean section group (P <0.01), while there was no significant difference between severe asphyxia group and neonatal death group (P> 0.05). Conclusion Low forceps do not increase the complications of maternal and child, rational use of low forceps, can reduce the rate of cesarean section to a certain extent.