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目的分析剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中优劣差异,探讨其临床适用性。方法 148例胎儿窘迫孕妇,随机分为试验组(76例)和对照组(72例),对照组采用常规阴道助产术进行分娩,试验组采用剖宫产术进行分娩。观察并比较生产后两组患者的母婴结局和术后胎儿窘迫的改善情况。结果试验组的新生儿Apgar评分>7分的例数为71例,明显多于对照组,差异有统计学意义(P<0.05);而对照组新生儿Apgar评分<4分的例数为5例,明显多于实验组,差异有统计学意义(P<0.05)。试验组母婴产后并发症发生率为15.8%与对照组37.5%比较,差异具有统计学意义(χ2=6.2750,P=0.0122<0.05)。结论剖宫产术和阴道助产术均能有效改善足月妊娠临产胎儿窘迫母婴结局,但剖宫产术的母婴围术期中并发症发生率较低,临床疗效明显优于阴道助产术,但是需要指出的是孕妇一旦出现临产胎儿窘迫,应按照孕妇具体情况选择剖宫产术或阴道助产术尽快结束分娩,避免并发症的发生,降低新生儿死亡率。
Objective To analyze the advantages and disadvantages of cesarean section and vaginal midwifery in term fetal distress of full term pregnancy and to explore its clinical applicability. Methods 148 pregnant women with fetal distress were randomly divided into experimental group (n = 76) and control group (n = 72). The control group was given routine vaginal delivery and the cesarean section was used in the experimental group. The maternal and infant outcome and postoperative fetal distress improvement were observed and compared between the two groups after production. Results The number of neonates with Apgar score> 7 in the experimental group was significantly higher than that in the control group (71 cases) (P <0.05), while the neonatal Apgar score <4 in the control group was 5 Cases, significantly more than the experimental group, the difference was statistically significant (P <0.05). The incidence of postpartum complications in the experimental group was 15.8% compared with 37.5% in the control group (χ2 = 6.2750, P = 0.0122 <0.05). Conclusion Both cesarean section and vaginal midwifery can effectively improve the outcome of fetuses and infants with full-term pregnancy-induced fetal distress. However, the incidence of complications during maternal and neonatal cesarean section is lower, and the clinical effect is better than vaginal midwifery However, it should be pointed out that in case of fetal distress of pregnant women in pregnancy, cesarean section or vaginal midwifery should be selected according to the specific conditions of pregnant women to end delivery as soon as possible to avoid the occurrence of complications and reduce the neonatal mortality rate.