胎头高浮剖宫产术胎头娩出困难分析

摘要

目的 分析胎头高浮剖宫产胎头娩出发生困难的原因并探讨处理措施,以减少胎头娩出困难以及娩出时间过长对新生儿的影响.方法 选择2012年6月至2014年12月在我院进行高浮胎头剖宫产手术产妇50例作为对照组,同期胎头高浮以内倒转,足牵引娩出产妇50例作为观察组,比较两组产妇胎头娩出时间、新生儿体重、新生儿窒息率以及术后病率和出血量.结果 观察组产妇胎儿娩出时间为(62.17 ±2.98)s,显著短于对照组产妇的(99.24 ±6.37)s(P<0.05);观察组新生儿窒息率为8.0%,显著低于对照组新生儿窒息率64.0%(P<0.05);观察组术后病率和术后出血量也要低于对照组产妇(P<0.05).结论 高浮胎头剖宫产发生胎头娩出困难和娩出时间过长从而导致新生儿窒息的发生率显著增高,足牵引娩出的方式能够显著减少胎头娩出时间、新生儿窒息率以及术后病率和出血量,值得临床推广使用.%Objective To discuss the reasons of difficulty delivery and treatment of cesarean section for fetal floating head,so that we can decrease the affection on fetal due to long delivery.Methods Selected 50 cases patients with high floating fetal and received cesarean section in our hospital from June 2012 to December 2014as the control group.Within the same period,50 casesof maternal with the fetal head high floating upside down and foot traction delivery were selected as the observation group.We compared maternal fetal head delivery time,birth weight,neonatal asphyxia rate and postoperative morbidity and bleeding of the two groups.Results The delivery time of observation group was 62.17 ±2.98s,which significantly shorter than that of the control group (99.24 ±6.37s) (P<0.05).The neonatal asphyxia of observation groupwas 9.01%,significantly lower than the control group (65.82%) (P <0.05).The postoperative morbidity and postoperative bleeding in observation groupwere lower than the mothers of the control group (P<0.05).Conclusions The floating head could increase the incidence of deliverydifficulty and time.Foot traction delivery method could decrease the incidence and the apnea of fetal.