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目的:探讨头位剖宫产术中先露较高难以娩出时压肠板的应用价值,寻找一种简单、安全、有效地娩出胎头的方法。方法:分析443例头位剖宫产术中先露高,娩出困难改用压肠板组109例(A组)和改为产钳组协助娩出胎头97例(B组)、直接徒手娩头98例(C组)、直接用压肠板娩头149例(D组)的病例资料,观察各组娩头时间及新生儿Apgar评分差异。结果:443例剖宫产因胎头高徒手娩出困难,直接用压肠板组(D组)比改用压肠板组(A组),改用产钳组(B组)和徒手娩头组(C组)时间明显缩短(P<0.05);新生儿Apgar评分,D组明显高于其他3组,而其他3组对比无统计学差异(P>0.05);D组窒息率最低。结论:头高位剖宫产术用压肠板代替徒手或产钳娩出胎头是一种简单、方便、有效的方法。
Objective: To explore the application value of pressure gut plate in the first cesarean section when it is difficult to deliver it, so as to find a simple, safe and effective method of delivering the fetal head. Methods: A total of 443 cases of cesarean section were enrolled in this study. 109 cases (group A) with pressure gut plate and 97 cases (group B) were assisted by forceps to deliver the fetal head were delivered with cesarean section. In 98 cases (group C), the data of 149 cases (group D) directly injected into the gland of the duodenum were observed. The differences of the head time and the Apgar score were observed. Results: 443 cases of caesarean section due to difficult delivery of fetal head hand, directly with the pressure intestinal plate group (D group) than the use of pressure intestinal plate group (A group), use forceps group (B group) (P <0.05); Apgar score in neonates was significantly higher in group D than in the other three groups, but there was no significant difference in other three groups (P> 0.05); Group D was the lowest. Conclusion: Head high cesarean section with pressure intestinal plate instead of hand or forceps delivery of fetal head is a simple, convenient and effective method.