经足牵引臀位取胎用于胎头深陷行子宫下段剖宫产中的临床效果

Clinical Effect of Breech Delivery by Foot Traction in the Lower Uterine Segment Cesarean Section with Deep Fetal Head

目的:探讨经足牵引臀位取胎在胎头深陷行子宫下段剖宫产中的临床效果。方法:选择2018年5月-2021年6月胎头深陷行子宫下段剖宫产产妇120例为对象,随机数字表法分为对照组与观察组,每组60例。对照组给予经阴道上推胎头头位取胎,观察组给予经足牵引臀位取胎,比较两组围手术期相关指标、产后并发症发生情况及对医疗服务的满意度。结果:观察组术中出血量及手术时间均少于对照组(P<0.05);两组月经恢复时间及住院时间比较,差异均无统计学意义(P>0.05);观察组产后出血、血肿、产褥感染、子宫切口裂伤及产后抑郁并发症发生率低于对照组(P<0.05);观察组对医疗服务总满意度为95.00%,高于对照组的80.00%(P<0.05)。结论:经足牵引臀位取胎用于胎头深陷行子宫下段剖宫产中,可减少术中出血量和手术时间,有助于降低产后并发症发生率,且能获得较高医疗服务满意度,值得推广应用。

Objective:To investigate the clinical effect of breech delivery by foot traction in the lower uterine segment cesarean section with deep fetal head.Method:From May 2018 to June 2021,120 puerperas who underwent lower uterine segment cesarean section with deep fetal head were selected as subjects,and they were divided into the control group and the observation group by random number table method,60 cases in each group.The control group was given transvaginal push-up fetal cephalic delivery,the observation group was given breech delivery by foot traction.The perioperative related indicators,postpartum complications and satisfaction with medical services were compared between two groups.Result:The intraoperative blood loss and operation time of the observation group were less than those of the control group(P<0.05);there were no significant differences in menstrual recovery time and hospitalization time between two groups(P>0.05).The incidences of postpartum hemorrhage,hematoma,puerperium infection,uterine incision laceration and postpartum depression in the observation group were lower than control group(P<0.05).The total satisfaction of puerperas and their family members to medical services in the observation group was 95.00%,which was higher than 80.00%in the control group(P<0.05).Conclusion:Breech delivery by foot traction in the lower uterine segment cesarean section with deep fetal head can reduce the amount of intraoperative blood loss and operation time,reduce the incidence of postpartum complications,and can obtain higher medical services satisfaction,it is worth of promoting and applying.