简析异常分娩中臀位助产术的临床应用疗效.docVIP

精品论文 参考文献 简析异常分娩中臀位助产术的临床应用疗效 刘玲 　　（四川省德阳市妇幼保健院 四川 德阳 618000） 　　【摘 要】目的：探讨在异常分娩患者应用臀位助产术的临床效果。方法：选取我院异常分娩患者作为研究对象，按照产妇和胎儿的实际情况分别选用剖宫产术、臀位助产术、臀位牵引术，观察三种分娩方式的新生儿结局，以及并发症情况。结果：新生儿体重不足3.5kg以臀位助产术为主，超过3.5kg以剖宫产术为主；并发症发生率由高到低依次为臀位牵引组（77.8%）、臀位助产组（32.3%）、剖宫产组（11.1%）；剖宫产组简易臀位评分明显低于其他两组。P＜0.05，差异有统计学意义。结论：对于异常分娩患者而言，应该根据母婴情况选择合适的分娩方式。其中臀位助产术能够减少新生儿并发症，改善分娩结局，值得临床推广。 　　【关键词】臀位异常分娩；臀位助产术；临床效果；并发症 　　【中图分类号】R714.4 【文献标识码】B 【文章编号】1003-5028（2015）7-0080-02 　　Analysis of abnormal labor breech midwifery of clinical curative effect 　　Liu ling 　　（Deyang city, sichuan province 618000 maternity and childrens health care centers） 　　【Abstract】Objective: to study the application in patients with abnormal labor breech midwifery clinical effect. Selection methods: our hospital patients with abnormal labor as the research object, according to the actual situation of maternal and fetal respectively choose cesarean section, breech midwifery, breech traction, observation of three methods for delivery of neonatal outcome, and complications. Results: less than 3.5 kg in breech birth weight midwifery is given priority to, more than 3.5 kg is given priority to with cesarean section; Complications from high to low in turn for breech traction group (77.8%), breech birth group (32.3%), cesarean section group (11.1%). Simple cesarean sections breech score significantly lower than the other two groups. P lt; 0.05, the difference was statistically significant. Conclusion: for patients with abnormal labor, should according to the situation of maternal and child to choose the right means of delivery. The breech midwifery can reduce the neonatal complications, and improve the delivery end, worth clinical promotion. 　　【Key words】abnormal breech birth; Breech midwifery; Clinical effect; complications 　　在异常分娩患者中，臀位分娩的发生率大约在5%左右，尽管实践表明大多数新生儿都能够成功分娩，但在并发症和死亡的发生率上却明显提高[1]。随着医疗技术的发展和生活水平的进步，分娩技术也在不断提升，新型的分娩方式能够改善分娩结局。为此，本文选取我院收治的患者进行分析，采用臀位助产术进行分娩取得了良好效果，结果报告如下： 　　1 资料与方法 　　1.1 一般资料 资料来源于我院收治的臀位异常分娩患者76例