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目的:探讨足月妊娠临产发生胎儿窘迫中两种分娩方式对母婴结局的影响。方法:运用随机整群抽样的方法选取我院2013年1月至2014年9月收治的80例足月妊娠临产发生胎儿窘迫的患者,依据随机数字表法将这些患者分为研究组和对照组两组,各40例。对研究组患者采取剖宫产结束分娩,对对照组患者采取阴道助产术结束分娩。结果:两组患者的脐带因素、胎盘因素、羊水粪染、胎儿因素、母体因素比例之间的差异均不显著(P>0.05);研究组患者的产后出血发生率5.00%(2/40)显著低于对照组12.50%(5/40)(P<0.05),但两组新生儿窒息、缺血缺氧性脑病发生率之间的差异均不显著(P>0.05)。结论:足月妊娠临产发生胎儿窘迫中阴道助产和剖宫产均能够获取良好的母婴结局,临床应依据患者实际情况选取合适的分娩方式,同时尽可能地将剖宫产率降低到最低限度。
Objective: To investigate the effects of two modes of delivery on maternal and infant outcomes in term distress of fetus during term labor. Methods: A random cluster sampling method was used to select 80 patients with fetal distress in term pregnancy and labor admitted to our hospital from January 2013 to September 2014. According to the random number table, these patients were divided into study group and control group Two groups, each 40 cases. Cesarean section was ended in the study group and vaginal delivery was stopped in the control group. Results: There were no significant differences in umbilical cord factors, placental factors, meconium-stained amniotic fluid, fetal factors and maternal factors between the two groups (P> 0.05). The incidence of postpartum hemorrhage in the study group was 5.00% (2/40) (P <0.05), but there was no significant difference between the two groups in incidence of asphyxia and hypoxic ischemic encephalopathy (P> 0.05). Conclusions: Vaginal delivery and cesarean delivery in term distress caused by full-term pregnancy can achieve a good maternal-infant outcome. Clinically, the appropriate mode of delivery should be selected according to the actual situation of the patients and the cesarean section rate should be reduced to the lowest possible level limit.