摘要
目的:应用一种新的阴道助产技术——阴道助产掌术并评估其在阴道助产中的价值。方法:介绍阴道助产掌并对2008年1月～2009年6月应用阴道助产掌分娩的50例与同期间应用产钳助产及胎头吸引助产各50例进行比较分析,比较阴道助产掌与自然分娩及其他阴道助产方法对母儿损伤的情况。结果:阴道助产掌组产后出血量及软产道损伤例数较产钳组显著减少(P<0.05),但助产掌组的单次助产成功率90%低于产钳组的100%,而与胎头吸引组比较差异无统计学意义(P>0.05);阴道助产掌组的新生儿损伤发生率显著低于产钳组及胎头吸引组(P<0.05)。结论:阴道助产掌助产是一种安全有效、操作简单、易于掌握、助产快、母婴损伤小的新的助产技术,在一定条件下可以代替产钳术,但单次助产成功率低于产钳术,可取代胎头吸引术,值得临床推广应用。
Objective：To apply a new assisted vaginal delivery technique-palm for assisted vaginal delivery and evaluate its value in assisted vaginal delivery.Methods：50 cases applying palm for assisted vaginal delivery and 50 cases applying forceps delivery and vacuum extraction of fetal head were analyzed and compared from January 2008 to June 2009,the damage of palm for assisted vaginal delivery,spontaneous delivery and the other assisted vaginal delivery methods to mothers and infants were compared.Results：The volume of postpartum hemorrhage and the number of soft birth canal laceration in palm for assisted vaginal delivery group were significantly lower than those in forceps delivery group （P 0.05）,but the single success rate of palm for assisted vaginal delivery group （90%） was significantly lower than that of forceps delivery group （100%）,there was no significant difference between palm for assisted vaginal delivery group and vacuum extraction of fetal head group （P 0.05） ;the incidence of neonatal injury in palm for assisted vaginal delivery group was significantly lower than those in forceps delivery group and vacuum extraction of fetal head group （P 0.05）.Conclusion：Obstetric palm for assisted vaginal delivery is a safe,effective,simple,easy to grasp,quick and minimally invasive and new technique in assisted vaginal delivery,which can replace forceps delivery under certain conditions,but the single success rate is significantly lower than that of forceps delivery,and it can replace vacuum extraction of fetal head,which is worth clinical popularizing.
出处
《中国妇幼保健》
CAS
北大核心
2010年第29期4288-4290,共3页
Maternal and Child Health Care of China
基金
广州市新技术新项目推广应用资助项目(2008-XZL-18)
关键词
助产掌
阴道助产
母儿损伤
Obstetric palm
Assisted vaginal delivery
Injury of mothers and infants
