摘要
本文对３８９例第二产程延长者进行分析，探讨其病因及对胎儿的影响。结果显示，导致第二产程延长的主要原因是胎位异常，其次是宫缩乏力；第二产程延长者胎儿窘迫，低Ａｐｇａｏ评分的发生率明显高于正常分娩组（Ｐ＜０．０１）；第二产程延长者一旦出现胎儿窘迫，不论是阴道助产还是剖宫产胎儿预后均不良。本文认为在观察产程过程中，应尽早的发现导致产程延长的原因，尽早的处理，缩短产程，可改善胎儿预后。
This paper reported that 389 cases with prolonged second stage of labour were anal-ysed,and
the causes, manaement and influence on fetus were studied. The results showed that
chiefcause of prolonged second stage of labour was abnormality of fetal position, then,
uterineatony. Incidence of fetal distress and low Apgar score was higher in patients with
prolonged secondstage of labour than in patients with normal delivery(P<0.01).If fetal distress
appeared,fetal prog-nosis would be unfavourable whether by vaginal helping delivery or by
cesarean section.This papersuggested that during ohservation, we should discover causes of
prolonged second stage of labour andmanage them as early as possible,which may improve
fetal prognosis.
出处
《白求恩医科大学学报》
CSCD
1995年第2期154-155,共2页
Journal of Norman Bethune University of Medical Science
关键词
第二产程延长
胎儿
预后
病因
prolonged second stage of labour
fetus
prognosis
