顺应宫缩连续娩肩法在预防肩难产新生儿产伤中的应用

摘要

目的 探讨顺应宫缩连续娩肩法在预防肩难产新生儿产伤中的应用. 方法 随机选取2013年9月—2015年6月在该院产科住院自然分娩的56例产妇为观察组研究对象,对观察组56例产妇分娩时应用顺应宫缩连续娩肩法;同时随机选取2011年9月—2013年6月在该院妇产科住院自然分娩的48例产妇为对照组研究对象, 对照组48例产妇分娩时应用传统的娩肩方法 . 对产妇行会阴伤口延伸、产后出血及新生儿窒息现象、体重、颅内出血、臂丛神经损伤、锁骨骨折、缺血缺氧性脑病等检查,记录结果 进行分析. 结果 观察组和对照组的产妇及新生儿分娩结局对比,发现观察组产妇的并发症发生率明显低于对照组,差异有统计学意义(P<0.05),新生儿窒息、颅内出血、臂丛神经损伤以及锁骨骨折的发生率明显低于对照组,差异有统计学意义(P<0.05),而缺血缺氧性脑病的发生率与对照组相比,差异无统计学意义(P>0.05). 结论 顺应宫缩连续娩肩法是一种可行且有效的自然分娩处理方法 ,改善产妇及新生儿分娩结局,降低并发症的发生,值得临床推广应用.%Objective To discuss the application of continuous delivery of shoulder method conforming to uterine contrac-tion in predicting shoulder dystocia neonatal birth trauma. Methods 56 cases of delivery women with hospitalization and natural labor in the obstetrics department of our hospital treated from September 2013 to June 2015 were selected as the observation group and were given continuous delivery of shoulder method conforming to uterine contraction, at the same time, 48 cases of delivery women with hospitalization and natural labor in the obstetrics department of our hospital treated from September 2011 to June 2013 were randomly divided into the control group and were given traditional delivery tech-niques of shoulder, the perineal wound extension, postpartum hemorrhage of the delivery women and the choking phe-nomenon, weight and intracranial hemorrhage, brachia plexus injury, clavicular fracture and hypoxic ischemia encephalopa-thy of the neonates were examined, the results were recorded and analyzed. Results The comparison of the delivery out-comes of the delivery women and neonates of the two groups showed that the incidence of complications of delivery women in the observation group was obviously lower than that in the control group ,the difference was obvious (P<0.05), the inci-dences of choking, intracranial hemorrhage, brachia plexus injury and clavicular fracture of the neonates were obviously low-er than those in the control group , the differences were obvious (P<0.05), however, the difference in the incidence of hy-poxic ischemia encephalopathy was not obvious (P>0.05). Conclusion Continuous delivery of shoulder method conforming to uterine contraction is a feasibility and effective natural labor processing method, and it can improve the delivery out-comes of the delivery women and neonates and decrease the occurrence of the complications, which is worthy of promotion and application.