论文部分内容阅读
目的:探讨处理肩难产的两种方法,分析两种助娩方法对母婴的影响。方法:回顾分析2012年10月~2014年1月共35例肩难产的临床资料,其中取四肢着床位助娩8例设为观察组,取屈大腿法及按压耻骨联合上方助娩27例设为对照组,对两组助娩方法处理肩难产后母婴并发症发生率进行分析。结果:采取四肢着床位助娩组新生儿锁骨骨折情况、Apgar评分、产妇产后出血量均低于对照组,差异均有统计学意义(P<0.05)。产妇会阴裂伤四肢着床位组低于对照组,但差异无统计学意义(P>0.05)。结论:四肢着床位处理肩难产行之有效且操作方便,可以尝试在临床上推广使用。
OBJECTIVE: To explore two ways to deal with shoulder dystocia and to analyze the effects of two methods of delivery on maternal and infant. Methods: The clinical data of 35 cases of shoulder dystocia from October 2012 to January 2014 were retrospectively analyzed. Among them, 8 cases of bed delivery with limbs were set as the observation group. 27 cases were treated by the thigh method and the suprapubic press As the control group, to analyze the incidence of maternal and child complications of two groups of delivery-delivery methods in treating shoulder and dysthymia. Results: The newborn clavicle fractures, Apgar score and postpartum hemorrhage volume were all lower than those in the control group. The differences were statistically significant (P <0.05). Maternal episiotomy perineal laceration group was lower than the control group, but the difference was not statistically significant (P> 0.05). Conclusion: The treatment of shoulder and dysthymia with four limbs is effective and easy to operate, so it can be used clinically.