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目的探讨第二产程中胎儿急性宫内窘迫的最佳处理方法,最大限度降低新生儿窒息的发生率。方法把第二产程中胎儿急性宫内窘迫33例产妇作为观察组与同期随机的相同条件下的33例产妇为作对照组,分别用手法和药物等不同方法处理,对缓解胎儿急性宫内窘迫和降低新生儿窒息发生率的结果进行对照分析。结果观察组33例产妇第二产程中发生的急性胎儿宫内窘迫,用手法干预处理和对照组用药物等处理,前者明显优于后者。结论对第二产程中发生急性胎儿宫内窘迫的产妇,进行手法干预处理,方法简单快捷,无不良反应和后果,新生儿窒息发生率降低。
Objective To investigate the optimal treatment of fetal acute fetal distress in the second stage of labor to minimize the incidence of neonatal asphyxia. Methods 33 cases of fetus with acute intrauterine fetal distress in the second stage of labor were selected as the observation group and 33 cases of the same mothers under the same condition as the control group. The patients were treated with different methods such as manipulation and drugs, respectively, to relieve the acute fetal distress And reduce the incidence of neonatal asphyxia results of the control analysis. Results In the observation group, 33 cases of acute fetal distress occurred in the second stage of labor were intervened by hand and the control group was treated with drugs. The former was better than the latter. Conclusion In the second stage of labor, acute fetus with fetal distress is treated by manual intervention. The method is simple and quick, without adverse reactions and consequences, and the incidence of neonatal asphyxia is reduced.