摘要
目的:探讨胎头高浮产妇子宫下段剖宫产取头困难方法。方法:术中用腰-硬外麻联合麻醉,改进子宫切口、加强术者与助手配合等方法娩头的78例为研究组;常规子宫下段剖宫产娩头72例为对照组,对比两组的取头时间、产妇和新生儿并发症发生率。结果:对照组发生取头困难8例,占11.1%;研究组2例,占2.6%,差异有显著性(P<0.05)。平均取头时间研究组55s,对照组105s;研究组产妇并发症发生率明显低于对照组,差异有显著性(P<0.05);研究组新生儿窒息发生率也低于对照组,差异有显著性(P<0.05)。结论:改进后的娩头法较常规娩头法能迅速而顺利取出胎头,安全性较高,母儿并发症较少,是胎头高浮子宫下段剖宫产取头的一种有效方法。
Objective：To explore the floating fetal head high maternal cesarean section difficult to take the first approach. Methods：The technique used spinal - epidural anesthesia anesthesia,uterine incision to improve, enhance and assistant surgeon with the other methods of delivery of the in＇at group of 78 cases; routine cesarean section delivery for the first 72 patients in control group,comparisons of the two group to take the first time,the incidence of maternal and neonatal complica- tions. Results： In control group to take the first difficulties occurred in 8 cases, 11.1% ; of group 2 patients, accounting for 2.6%, the difference was significant （ P 〈 0.05）. The average access time of the first group of 55s, control group, 105s; Research maternal complications was significantly lower than the control group, the difference was significant （P 〈 0.05） ;study the incidence of neonatal asphyxia group compared with the control group, the difference was significant （ P 〈 0.05 ）. Conclusion：improved delivery method than the conventional delivery head first method can remove the fetal head quickly and smeothly,and higher security and less eomplications,matemal child is floating fetal head high cesarean section is an effective way to take the first.
出处
《医学信息（中旬刊）》
2010年第5期1045-1046,共2页
Medical Information Operations Sciences Fascicule
关键词
剖宫产
取头
切口
配合
C -section
Takes the head
Margin
Coordination
