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肩难产35例临床处理分析 被引量:6

Analysis on clinical treatment of 35 cases with shoulder dystocia
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摘要 目的:探讨处理肩难产的两种方法,分析两种助娩方法对母婴的影响。方法:回顾分析2012年10月-2014年1月共35例肩难产的临床资料,其中取四肢着床位助娩8例设为观察组,取屈大腿法及按压耻骨联合上方助娩27例设为对照组,对两组助娩方法处理肩难产后母婴并发症发生率进行分析。结果:采取四肢着床位助娩组新生儿锁骨骨折情况、Apgar评分、产妇产后出血量均低于对照组,差异均有统计学意义(P〈0.05)。产妇会阴裂伤四肢着床位组低于对照组,但差异无统计学意义(P〉0.05)。结论:四肢着床位处理肩难产行之有效且操作方便,可以尝试在临床上推广使用。 Objective: To explore two therapies of shoulder dystocia, analyze their impacts on mothers and infants. Methods: Clinical data of 35 cases with shoulder dystocia from October 2012 to January 2014 were analyzed retrospectively, 8 cases adopting four - limb -on- bed position were designed as observation group, while 27 cases bending thigh while pressuring the upper margin of symphysis pubis were designed as control group ; the incidence rates of maternal and infantile complications in the two methods were analyzed. Results: The incidence rate of neonatal fracture of clavicle, Apgar score and postpartum hemorrhage volume in four - limb - on - bed position group were statistically significantly lower than those in control group ( P 〈 0.05 ) . The incidence rate of perineal laceration in four - limb - on - bed position group was lower than that in control group, but there was no statistically significant difference ( P 〉 0. 05 ) . Conclusion : Four - limb - on - bed position is effective and easy to operate in 'treatment of shoulder dystocia, which can be popularized and applied in clinic.
出处 《中国妇幼保健》 CAS 北大核心 2014年第34期5574-5576,共3页 Maternal and Child Health Care of China
基金 江苏省镇江市科技支撑计划--社会发展项目〔SH2013063〕
关键词 肩难产 屈大腿法 四肢着床位 助产方法 Shoulder dystocia Bending thigh Four - limb - on - bed position Method of midwifery
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参考文献12

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