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目的探讨气囊加力助产术在经阴道分娩头位难产中的应用价值。方法回顾性分析2014年9月-2016年3月在该院经阴道分娩头位难产产妇的临床资料80例,根据分娩过程中的处理方式分为气囊加力助产组(48例)和徒手旋转胎头组(32例)。比较两组产妇产程、出血量,观察两组产妇产后并发症发生率和新生儿Apgar评分。结果气囊加力助产组产妇产时和产后2h出血量均较徒手旋转胎头组少(P<0.05);气囊加力助产组产妇第一产程、第二产程和第三产程均较徒手旋转胎头组短(P<0.05);气囊加力助产组产妇感染、尿潴留、乳汁不下和恶露不绝发生率明显低于徒手旋转胎头组(P<0.05);两组新生儿出生后1 min和5 min的Apgar评分差异无统计学意义(P>0.05)。结论气囊加力助产术在头位难产中的应用效果较好,可明显缩短产程,降低产妇并发症发生率,具有较好的临床应用价值。
Objective To investigate the value of assisted assisted delivery of air bag in the first delivery of vaginal delivery. Methods A retrospective analysis of 80 patients with vaginal delivery in September 2014 to March 2016 at the first hospital with vaginal delivery was performed according to the mode of labor during delivery. Rotating head group (32 cases). The two groups of maternal labor, bleeding, the incidence of postpartum complications and Neonatal Apgar score were observed. Results The amount of bleeding in the second trimester and the second trimester were both less than those in the first trimester group (P <0.05). The first trimester, second and third trimesters (P <0.05). The incidence of maternal infection, urinary retention, undeveloped milk and lochia in the assisted assisted delivery group was significantly lower than that in the untreated fetal head group (P <0.05). Neonates Apgar scores at 1 minute and 5 minutes after birth showed no significant difference (P> 0.05). Conclusions The application of air-assisted bladder assisted abortion in head dystocia is effective, which can significantly shorten the labor process and reduce the incidence of maternal complications, which has a good clinical value.