目的探讨肩难产影响因素、发生率及处理方法。方法选择30例肩难产产妇，对其临床资料进行回顾性分析，依照肩难产发生时母婴出现并发症情况的发生率和助产手法、新生儿体重以及娩肩时间之间存在的关系进行详细的分组，同时对其进行具体分析。结果与正常体重的婴儿相比，巨大儿母婴并发症情况的发生率明显较高（P＜0.05）；母亲并发症的发生率和娩肩时间以及助产手法不存在显著相关性（P＞0.05），而新生儿当中并发症的发生率会随着娩肩时间以及助产手法种类的不断增加而越来越高（P＜0.05）。结论肩难产情况出现的主要高危因素是巨大儿。在肩难产当中最为常见的并发症就是母体会阴裂伤、新生儿窒息以及产后出血情况，对肩难产情况进行处理的首选方法是屈大腿法与压前肩法相联合。%Objective To discuss and shoulder dystocia influence factors and the incidence and treatment methods. Methods To select 30 cases of shoulder dystocia maternal, the clinical data were resilience analysis, in accordance with the shoulder dystocia occurs maternal complications of the incidence and obstetric techniques, and neonatal weight Mian shoulder time and the relation of the group in detail, at the same time carry on the concrete analysis. Results Compared with normal weight baby great son of maternal and infant complications incidence obviously is higher (P<0.05);The incidence of complications of mothers and Mian shoulder time and obstetric technique does not exist significant correlation (P>0.05), and the incidence of complications of newborns with Mian shoulder time and obstetric technique kinds of increasing and more and more high (P<0.05). Conclusion Shoulder dystocia occurs the primary risk factors is great son. In the shoulder dystocia of the most common complications is maternal perineal laceration, neonatal asphyxia and postpartum hemorrhage of shoulder dystocia situation the preferred method of treatment is flexion big kicks and press front shoulder joint method.
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