摘要
目的探讨产科因素与阴道分娩所致新生儿锁骨骨折发生率之间关系及相关预防措施。方法对2003-01～2011-12在我科住院的12 560例阴道分娩产妇中所发生的37例新生儿锁骨骨折情况进行回顾性分析。结果锁骨骨折在所有新生儿病例中发生率为0.46%,其多见于阴道难产,以前肩娩出时同侧锁骨骨折居多,且伴随新生儿体重增加,骨折发生数量呈上升趋势。结论产程进展异常、娩肩时助产技术缺陷以及新生儿体重等因素均可能为导致新生儿锁骨骨折的高危因素,在产科临床工作中应及时识别高危因素,不断提高助产技术,以降低新生儿锁骨骨折的发生。
Objective To investigate the relationship between obstetric factors and neonatal clavicular fracture caused by vaginal delivery,and to explore the related preventive measures.Methods The clinical data of 37 cases of neonatal clavicular fracture in 12 560 cases of vaginal delivery maternal hospitalized in our department from January 2003 to December 2011 were analyzed.Results The incidence of neonatal clavicle fracture was 0.46%,and it mostly happened in the vaginal dystocia,especially in the delivery of anterior shoulder of the fetus.The incidence of fracture increased with the increasing birth weight.Conclusion Abnormal labor progress,midwifery technical defects and neonatal weight factors may be the risk factors of neonatal clavicular fracture.To strengthen the midwifery staff training,identify the obstetric risk factors timely,and continuously improve the midwifery skills could reduce the incidence of neonatal clavicular fracture.
出处
《山西医科大学学报》
CAS
2013年第1期64-66,共3页
Journal of Shanxi Medical University
关键词
新生儿
锁骨骨折
产科因素
newborn
clavicle fracture
obstetric factors
