158例头位难产的临床分析

A clinical analysis of 158 cases with cephalic presentation dystocia

目的:探讨头位难产的原因、临床表现及处理方法,旨在降低剖宫产率,减少母婴并发症。方法:对158例头位难产的临床资料进行回顾性分析。结果:158例头位难产病例中行剖宫产术65例(41.1%),阴道助产27例(17.1%),经处理后自然分娩66例(41.7%)。新生儿娩出后Apgar评分在8分以上者95例,4～7分者60例,1～3分者3例。未发生产妇及围生儿死亡。结论:及早识别,及时处理,正确地选择分娩方式是改善妊娠结局的关键。

Objective： To analyze the causes,clinical manifestations and treatment of dystocia of vertex presentation, aim to reduce cesarean section rate and mother-infant complication. Methods： 158 cases of cephalic presentation dystocia were studied retrospectively. Results： In all cases,65 cases used cesarean section（41.1%）,27 cases of vaginal birth （17.1%）, 66 cases of natural childbirth（41.7%）. After the birth, Apgar score of 8 or more points in 95 cases,4-7 points in 60 cases, 1-3 points in 3 cases. No maternal and perinatal death. Conclusion： Early diagnosis and treatment,correct choice of the dilivery method are the key to improve the pregnancy outcome.