摘要
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.
出处
《中国医药导报》
CAS
2009年第8期43-44,共2页
China Medical Herald
关键词
头位难产
产力异常
剖宫产
Cephalic presentation dystocia
Abnormal uterine action
Cesarean section