不同臀位分娩方式对新生儿影响及临床护理研究.docVIP

不同臀位分娩方式对新生儿的影响及临床护理研究 　　[摘要]目的 探讨不同臀位分娩方式对新生儿的影响，提高母婴健康的分娩方式及护理措施。方法 回顾性分析2014年3月～2016年4月本院收治的臀位分娩的妊娠病例317例，283例采用剖宫产分娩（A组），另34例采用经阴道分娩（B组），比较两组新生儿体重、死亡率及并发症等情况。结果 A组体重低于3.00 kg的新生儿占总数42.76%（121例），而B组为21例，占总数61.76%，B组明显高于A组，差异有统计学意义（P0.05）。两组均未见死亡病例。A组颅内出血3例（1.06%）、吸入性肺炎为6例（2.12%），且并未发现产伤，并发症发生率为3.18%；B组1例颅内出血（2.94%）、2例吸入性肺炎（5.88%）、3例产伤（8.82%），并发症发生率为17.65%，差异有统计学意义（P0.01）。A组Apgar评分为（7.26±1.06）分，B组评分为（4.57±1.20）分，差异有统计学意义（P0.05）。结论 及时发现胎位异常，积极做好孕妇保健，可提高母婴的预后。 　　[关键词]臀位分娩；新生儿并发症；阴道分娩；剖宫产；产科护理 　　[中图分类号] R248.3 [文献标识码] A [文章编号] 1674-4721（2016）12（b）-0190-03 　　The study of the inference of different breech delivery modes on infants and relevant nursing measures 　　ZHU Xi-mei WU Wei-fang YE Xiao-ying 　　Department of Pediatrics，Dongping Branch Courth of the Third People′s Hospital of Huizhou City in Guangdong Province，Huizhou 516002，China 　　[Abstract]Objective To explore the prognosis of different breech delivery modes on infants and discuss methods of delivery and nursing measures to improve maternal and infant health.Methods Retrospective analysis of 317 cases of breech delivery clinical data in our hospital from March 2014 to April 2016，283 cases of cesarean section （group A），34 cases of vaginal delivery （group B），the neonatal weights，the neonatal deaths and complications of two groups were compared.Results Newborns with a lower than 3.00 kg of group A was 42.76%（121 cases），the group B was 61.76%（21 cases），the group B was higher than that of group A，the difference was significant（P0.05）.There were no one case died in two groups.There were 3 cases（1.06%）intracranial hemorrhage，6 cases（2.12%）aspiration pneumonia in group A and none of birth injury，the incidence rate of cornplication was 3.18%.However，there was 1 cases（2.94%） intracranial hemorrhage，2 cases（5.88%）aspiration pneumonia and 3 cases（8.82%）birth injury in group B，the incidence rate of cornplication was 17.65%，the difference was significant（P0.01）.The Apgar score of group A was （7.26±1.06） scores，the gro