摘要
目的:探讨剖宫产与阴道助产术在足月妊娠临产胎儿窘迫中的应用效果。方法:对浙江省安吉县第三人民医院2006年2月～2010年12月120例足月妊娠临产时出现胎儿窘迫的病例按照随机原则,分别采用剖宫产及阴道助产术产钳法进行分娩,比较两种处理方式的母婴结局。结果:剖宫产组与阴道产钳组影响胎儿窘迫的脐带因素、胎盘因素、母体因素、胎儿因素发生率分别为46.03%(29/63)、35.09%(20/57),11.11%(7/63)、15.78%(9/57),9.52%(6/63)、8.77%(5/57),4.76%(3/63)、5.26%(3/57),两组脐带因素、胎盘因素比较差异有统计学意义(P<0.05);胎心监护NST两种方式下的新生儿、胎儿窘迫症状术后改善率分别为80.95%(51/63)、87.72%(50/57),两组比较均具有统计学差异(P<0.05)。结论:胎儿窘迫主要发生于临产过程中,应根据孕妇产程进展采取适当的方式,及时抢救新生儿,降低新生儿窒息,在严密监护条件下,阴道助产术可以减少足月妊娠临产胎儿窘迫的发生率。
Objective：To study the clinical effect of cesarean section and vaginal delivery technique in full-term pregnancy fetal distress in labor.Methods：The 120 patients who were full-term pregnancy and fetal distress in labor cases in our hospital from February 2006 to December 2010 were divided into cesarean section group and vaginal midwifery group by random sampling.Then the maternal and neonatal outcomes were compared between the two groups.Results：In the factors of affecting fetal distress,umbilical cord factor,placental factor,maternal factor and fetal factor was 46.03%（29/63）,11.11%（7/63）,9.52%（6/63）,4.76%（3/63） respectively in cesarean section group,and 35.09%（20/57）,15.78%（9/57）,8.77%（5/57）,5.26%（3/57） respectively in vaginal forceps group.Umbilical cord factor and placenta factor were significant differences between the two groups（P0.05）.The improving rate of fetal distress was 80.95%（51/63） in cesarean section group and 87.72%（50/57） in vaginal midwifery group,there was significant differences between the two groups（P0.05）.Conclusion：Fetal distress occurs mainly in the labor process.In the intensive care,vaginal midwifery can reduce the rate of fetal distress of full-term pregnancy in labor.
出处
《中国妇幼保健》
CAS
北大核心
2012年第11期1722-1724,共3页
Maternal and Child Health Care of China
关键词
阴道助产术
剖宫产
足月妊娠
胎儿窘迫
Vaginal midwifery
Cesarean section
Full-term pregnancy
Fetal distress
