论文部分内容阅读
目的研究足月妊娠临产胎儿窘迫行剖宫产术与阴道助产术的临床价值,为临床提供可参考依据。方法抽取江苏盛泽医院妇产科2010年1月-2015年1月足月妊娠临产胎儿窘迫产妇200例为研究对象。按照患者自愿原则,将其分为研究组和对照组,每组100例。对照组进行剖宫产术,研究组进行阴道产钳助产术。统计两组产妇发生胎儿窘迫的因素、新生儿并发症发生率及Apgar评分结果。结果对照组胎儿窘迫因素中,脐带缠绕因素构成比显著高于研究组(P<0.05)。研究组并发症发生率为8.00%,显著低于对照组(32.00%)(P<0.05)。研究组新生儿Apgar评分显著优于对照组(P<0.05)。结论足月妊娠临产胎儿宫内窘迫应用剖宫产术和阴道助产术都能缓解缺氧状况,应用阴道助产术的产妇娩出新生儿并发症发生率低,脐带绕颈几率小,可以在临床工作中根据产妇具体情况进行选择。
Objective To study the clinical value of cesarean section and vaginal midwifery in full-term pregnancy with fetal distress, and to provide a reference for clinical practice. Methods A total of 200 pregnant women with fetal distress during term pregnancy were collected from January 2010 to January 2015 in Shengze Hospital of Jiangsu Province. In accordance with the principle of voluntary patients, divided into study group and control group, 100 cases in each group. Control group were cesarean section, the study group was vaginal forceps midwifery. Statistics two groups of maternal fetal distress factors, neonatal complications and Apgar score results. Results Among the fetal distress factors in the control group, the constituent ratio of umbilical cord entanglement was significantly higher than that of the study group (P <0.05). The complication rate in study group was 8.00%, which was significantly lower than that in control group (32.00%) (P <0.05). The Apgar score of neonates in study group was significantly higher than that of control group (P <0.05). Conclusion Cesarean section and vaginal midwifery can alleviate the condition of hypoxia in full-term pregnancy-threatened fetus intrauterine distress. The incidence of neonatal complications by vaginal midwifery is low, the risk of umbilical cord wound around the neck is small, Clinical work according to the specific circumstances of maternal choice.