肩难产的高危因素相关处理及预防

摘要

Objective To investigate the relevant risk factors for shoulder dystocia and its prevention measures.MethodsChoose 42 cases of shoulder dystocia patients in our hospital who were selected from 2005 October to 2013 October in the observation group,42 cases of normal pregnant women and simultaneous extraction as control group,combined with the related clinical data of the two groups were retrospectively analyzed and compared.Results In the observation group, diabetes,macrosomia,cephalopelvic disproportion and abnormal labor occurrence rates were 26.19%,30.95%,33.33% and 30.95%,significantly higher than that in control group 2.38%,4.76%,7.14% and 2.38%,the diference was statisticaly significant(P<0.05).ConclusionThe high risk factors causing of the shoulder dystocia,fetal macrosomia,mainly with diabetes,cephalopelvic disproportion and maternal abnormal labor and other relevant,through active,early treatment and prevention to reduce the incidence of shoulder dystocia,ensure the safety of mother and child.%目的：探讨肩难产的相关高危因素及其防治措施。方法抽取我院2005年10月～2013年10月接诊的42例肩难产患者作为观察组，同期抽取42例正常产妇并设为对照组，结合两组的相关临床资料进行回顾性分析和对比。结果观察组糖尿病、巨大胎儿、头盆不称和产程异常的发生率分别为26.19%、30.95%、33.33%和30.95%，明显要高于对照组的2.38%、4.76%、7.14%和2.38%，比较差异有统计学意义（P<0.05）。结论导致肩难产的高危因素主要与糖尿病、巨大胎儿、头盆不称以及产妇产程异常等有关，临床应加以重视，并通过积极、尽早处理和预防来降低肩难产发生率，确保母婴安全。