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目的:分析头位难产产妇的临床特点,探讨引起头位难产的原因以及对分娩方式和母婴结局的影响。方法:选取2015年4月至2016年4月本院妇产科收治的50例头位难产产妇作为头位难产组,选取同期的50例正常产妇作为正常对照组,分析头位难产的原因,对两组产妇的分娩方式和母婴结局进行比较。结果:引起50例产妇头位难产原因主要为胎儿位置异常和继发性宫缩乏力;头位难产产妇有37(74%)进行剖宫产,其剖宫产和人工辅助阴道分娩比例明显的高于正常对照组,产程明显的长于正常对照组,组间比较,差异具有统计学意义(P<0.05);头位难产产妇发生产后出血、胎儿窒息、胎儿宫内窘迫以及新生儿死亡的比例均明显的高于对照组,差异具有统计学意义(P<0.05)。结论:头部难产大大增加了不良母婴结局的发生,因此,为最大的降低对母婴的危害,要对难产症状及早的发现并给予正确的处理。
OBJECTIVE: To analyze the clinical features of headpartum dystocia and explore the causes of head dystocia and the effects on delivery mode and maternal and infant outcomes. Methods: From April 2015 to April 2016, 50 cases of headparts with dystocia admitted in obstetrics and gynecology department of our hospital were selected as the head dystocia group. 50 normal women in the same period were selected as the normal control group, The mode of delivery and maternal and infant outcomes of the two groups were compared. Results: The main causes of dystocia of 50 maternal head position were abnormal fetus position and secondary uterine atony. 37 (74%) maternal head dystocia patients had cesarean section, and the proportion of cesarean section and assisted vaginal delivery was significant (P <0.05). The ratio of postpartum hemorrhage, fetal asphyxia, fetal distress and neonatal death in the headpartum dystocia patients was significantly higher than that in the normal control group Were significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion: Head dystocia greatly increased the incidence of adverse maternal and infant outcomes. Therefore, in order to minimize the harm to maternal and infant, early detection of dystopic symptoms should be given and correctly treated.