目的 对四肢着床与膀胱截石位处理肩难产的效果进行对比,探究最适合的肩难产助产方式.方法 选取我院收治的选择阴道试产并可能发生肩难产初产妇50例,根据产妇入住顺序分作对照组和实验组,各25例.观察两组中产中、产后数据.结果 试验组从胎头至胎肩娩出时间均短于对照组,P<0.05,差异具有统计学意义,试验组的新生儿低Apgar评分率、新生儿产伤率、产道裂伤以及出血率都低于对照组,P<0.05,差异具有统计学意义.结论 运用四肢着床位方式处理肩难产最能缩短胎肩娩出时间.%Objective Comparative analysis effect of lithotomy position and limbs implantation place of deal with egg-bound of shoulder.Methods Selected 50 cases vaginal trial production and caesarian-sections for ifrst-time mothers in our hospital who could occur egg-bound of shoulder, to stay in maternal order were divided into control group and experimental group, each group had 25 cases. Observeation several during postpartum data of two groups.Results The experimental group from the fetal head to tire shoulder childbirth time was shorter than the control group,P<0.05, had difference statistically signiifcance. Experimental low apgar score rate of newborn babies, neonatal birth injury rate, the birth canal laceration and hemorrhage rate were lower than the control group,P<0.05, had difference statistically signiifcance.Conclusion Use of limbs with beds and way to deal with shoulder dystocia can shorten the tire shoulder most childbirth time.
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