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目的探讨和研究产钳助产和急诊剖宫产对第二产程异常产妇的临床效果。方法回顾性分析妇产科收治的114例第二产程异常产妇资料,根据方案不同分为产钳助产组60例和剖宫产组54例。观察比较两组从决策到分娩的时间对产妇的影响和对新生儿的影响。结果产钳助产组从决策到分娩时间、产妇产后出血率、产褥感染率、新生儿重度窒息率均显著低于剖宫产组(P<0.05),两组在软产道裂伤、新生儿面部擦伤、头皮血肿、新生儿肺炎上差异无统计学意义(P>0.05)。结论第二产程异常时,低位产钳是解决头位难产的重要手段,并能降低剖宫产率。
Objective To study and study the clinical effect of forceps midwifery and emergency cesarean section on abnormal maternal labor in the second stage of labor. Methods A retrospective analysis of obstetrics and gynecology admitted 114 cases of abnormal labor in the second stage of labor information, according to the program is divided into forceps and 60 cases of cesarean section and 54 cases of cesarean section. Observe and compare two groups from the decision-making to childbirth time on the impact of maternal and newborns. Results From the time of decision-making to delivery, the rate of postpartum hemorrhage, the rate of puerperal infection and severe asphyxia of neonates were significantly lower than that of cesarean section group (P <0.05) There was no significant difference in facial abrasion, scalp hematoma and neonatal pneumonia (P> 0.05). Conclusion In the second stage of labor abnormality, low forceps is an important means to solve the first dystocia and reduce the rate of cesarean section.