胎头高浮徒手牵拉俯屈娩头法在剖宫产术中的临床应用.docVIP

精品论文 参考文献 胎头高浮徒手牵拉俯屈娩头法在剖宫产术中的临床应用 （四川攀枝花市第六人民医院 四川 攀枝花 617023） 【摘 要】目的：探讨胎头高浮徒手牵拉俯屈娩头法在剖宫产术中的临床应用价值。方法：选择2008年1月～2014年1月,在我院剖宫产的胎头高浮产妇98例,随机分为2组,徒手牵拉俯屈娩头法50例为观察组,常规娩头法48例为对照组,比较两组的取头时间、娩头困难率、成功率、子宫切口损伤和新生儿窒息率。结果：观察组平均娩头时间短于对照组，成功率高于对照组，子宫切口损伤率低于对照组，均有显著性差异(Plt;0.05)。观察组新生儿窒息率低于对照组。结论：剖宫产术中胎头高浮徒手牵拉俯屈娩头方法时间短、成功率高、安全、可靠,母儿并发症少。 【关键词】胎头高浮；徒手牵拉俯屈娩头；剖宫产术 【中图分类号】R719.8 【文献标识码】A 【文章编号】1004-6194（2015）02-0037-02 【Abstract】Objective：To investigate the floating fetal head stretching hand flexion of fetal head in cesarean section in the clinical application. Methods：from 2008 January to 2014January, in our hospital cesarean section fetal floating maternal 98 cases, were randomly divided into 2 groups, stretching hand flexion head delivery method in 50cases of the observation group, routine childbirth 48 cases as control group, two groups to take the first time, childbirth difficult rate, the success rate of uterine incisioninjury, and the rate of neonatal asphyxia. Results The observation group, the average time of fetal head shorter than that of the control group, the success rate was higher than the control group, uterine incision injury rate is lower than that of the control group. There were significant differences (P lt; 0.05). The neonatal asphyxia rate in observation group was lower than that in control group. Conclusion cesarean section floating fetal head stretching hand flexion time head delivery method for short, high success rate, safety, reliability,less complications of mother and infant. 【Key words】floating fetal head Stretching hand flexion of fetal head in cesarean section. 胎头高浮是新式剖宫产娩头困难的最主要原因 ［1］［2］［3］,而娩头困难极易引起新生儿窒息,有时会给产妇及患儿的预后造成严重不良后果。我院2008年开始探索在术中徒手牵拉俯屈娩头法处理剖宫产胎头高浮,有效降低了娩头困难发生率及产妇并发症及新生儿窒息率，效果良好，现报告如下。 1 资料与方法 1.1 一般资料 2008年1月～2014年1月,在我院行剖宫产的胎头高浮产妇98例,年龄，孕周，孕妇体重指数，新生儿体重，妊娠并发症,子宫有无瘢痕均无统计学意义，除外胎儿窘迫。将98例产妇随机分为两组,观察组50例,对照组48例，详细情况见表1。 1.2 手术方法 两组均采取马彦彦的新式剖宫产［4］方法。对照组采用常规方法娩头。观察组切开子宫及之前手术步骤及方法相同，切开子宫