剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的应用

Application of cesarean sect/on and vaginal delivery in parturient term pregnancy with fetaldistll＇efll~

目的 探讨剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的应用情况.方法 选择足月妊娠临产胎儿窘迫106例,其中施行剖宫产术结束分娩50例（A组）,施行阴道助产术结束分娩56例（B组）,比较两组的新生儿结局及胎儿窘迫时产妇宫口开大情况.结果 A、B组新生儿窒息率[14.0%（7/50）比16.1%（9/56）]比较差异无统计学意义（P＞0.05）;A组胎儿窘迫时产妇宫口开大处于潜伏期率高于B组[54.0%（27/50）比26.8%（15/56）]（P＜0.05）,处于活跃期减缓阶段率低于B组[4.0%（2/50）比23.2%（13/56）]（P＜0.05）.结论 剖宫产术与阴道助产术应用于足月妊娠临产胎儿窘迫中均能获得良好的新生儿结局.临床上应根据产妇情况选择适合的手术方式,并努力降低剖宫产率.

Objective To observe the application of cesarean section and vaginal delivery in parturient term pregnancy with fetal distress. Methods One hundred and six cases of parturient term pregnancy with fetal distress were selected, SO cases of cesarean section as group A, 56 cases of vaginal delivery as group B, newborn outcome and condition of the large maternal cervix data when fetal distress between two groups were compared. Results The neonatal asphyxia rate was 14.0% （7/50） in group A and 16.1 % （9/56 ） in group B, there was no significant difference between two groups （P〉0.05）; the rate of the large maternal cervix data in delitescence in group A was higher than that in group B [54.0% （27/50） vs. 26.8% （15/56） ]（P〈 0.05）; the rate of the large maternal cervix data in active stage deceleration phase in group A was lower than that in group B [4.0%（2/50） vs. 23.2%（13/56）]（P〈0.05）. Conclusion Cesarean section and vaginal delivery in parturient term pregnancy with fetal distress can get a good neonatal outcomes, maternal clinical condition should select the appropriate surgical approach, and effort to reduce cesarean section rates.