本文選題：胎頭吸引器 + 產(chǎn)鉗��； 參考：《中山大學(xué)學(xué)報(bào)(醫(yī)學(xué)科學(xué)版)》2017年03期

【摘要】：【目的】比較胎頭吸引器和產(chǎn)鉗陰道助產(chǎn)的分娩結(jié)局。【方法】收集我院規(guī)律產(chǎn)檢并分娩的孕婦164例,其中使用胎頭吸引器的82例作為吸引器組,使用低位和出口產(chǎn)鉗的82例作為產(chǎn)鉗組,使用陰道助產(chǎn)前胎位為枕橫位或枕后位者為胎位異常組。比較分析吸引器組和產(chǎn)鉗組的母嬰并發(fā)癥�！窘Y(jié)果】產(chǎn)鉗組陰道裂傷率明顯高于吸引器組(56.1%vs 24.2%,P0.01),但新生兒頭皮血腫和新生兒高膽紅素血癥(NHB)的發(fā)生率低于吸引器組(P0.05);產(chǎn)鉗胎位異常組的陰道裂傷率也高于吸引器胎位異常組(76.5%vs.22.2%,P0.05),但新生兒高膽紅素血癥的發(fā)生率低于吸引器胎位異常組(P0.05)。決策到分娩的時(shí)間間隔、產(chǎn)后24 h出血量、產(chǎn)后24 h白細(xì)胞和中性粒值、新生兒窒息率、顱內(nèi)出血、帽狀腱膜下出血、新生兒轉(zhuǎn)科率及新生兒缺血缺氧性腦病(HIE),吸引器組和產(chǎn)鉗組兩組間比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)�！窘Y(jié)論】胎頭吸引器陰道助產(chǎn)會(huì)降低陰道的裂傷率,尤其是胎位異常時(shí)的陰道裂傷率,但增加新生兒頭皮血腫和NHB的發(fā)生。
[Abstract]:[objective] to compare the delivery outcome of fetal head attractor and vaginal delivery by forceps. [methods] 164 pregnant women with regular birth examination and delivery were collected, 82 of them were used as suction group. 82 cases of low and outlet forceps were used as forceps, and the abnormal position of occipital position or occipital posterior position was used before vaginal midwifery. [results] the rate of vaginal laceration in the forceps group was significantly higher than that in the suction group (56.1 vs 24.2P 0.01), but the incidence of neonatal scalp hematoma and neonatal hyperbilirubinemia was lower than that in the suction group. The rate of vaginal laceration in the group with abnormal fetal position of the forceps was also higher than that in the group with abnormal fetal position of the attractor, but the incidence of hyperbilirubinemia in the newborn was lower than that in the group with abnormal fetal position of the attractor (P 0.05), but the incidence of hyperbilirubinemia in the newborn was lower than that in the group with abnormal fetal position. The interval between decision and delivery, the amount of blood lost 24 hours after delivery, the leukocyte and neutrophil values of 24 hours postpartum, the rate of neonatal asphyxia, intracranial hemorrhage and subaponeurotic hemorrhage. There was no significant difference between the two groups (P 0.05). [conclusion] the rate of vaginal delivery with fetal head attractor can reduce the rate of laceration of vagina. Especially the rate of vaginal laceration in abnormal fetal position, but increased the occurrence of neonatal scalp hematoma and NHB.
【作者單位】： 中山大學(xué)附屬第三醫(yī)院產(chǎn)科;
【基金】：廣東省科技計(jì)劃項(xiàng)目(2011B061300030)
【分類號】：R714.3

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