肩难产的64例回顾性分析

Shoulder Dystocia: A Retrospective Analysis of 64 Cases

目的分析和总结肩难产的发生概率、治疗手段、并发症情况以及危险因素。方法从我院2014年4月—2015年3月接收的分娩患者资料中筛选出肩难产病例并视为观察组,选取同期正常分娩病例进行对照,就两组产妇与新生儿的各项指标进行比较,分析应对相关高危因素的手段并总结肩难产的处理方法。结果 9 600例产妇中,64例属于肩难产,占0.67%。当中有40例巨大婴儿,占比肩难产总数的62.5%。两组产妇的腹围、宫高与产程以及新生儿的身长、体质量、胸围、头围相比较均呈现明显差异。结论产妇出现肩难产的发生率较低,但是巨大儿在肩难产中占比较大,选取最佳处理方式是控制产妇及新生儿出现并发症有效措施。

Objective The incidence, treatment, complications and risk factors of shoulder dystocia were analyzed and summarized. Methods The cases of shoulder dystocia were screened from the data of delivery patients from April 2014 to March 2015 in our hospital and regarded as the observation group, and the normal delivery cases were selected as the control, two groups of maternal and neonatal indicators were compared, analyzed of coping with high-risk factors, and summarized the treatment of shoulder dystocia. Results Among 9 600 cases, 64 were shoulder dystocia, accounting for 0.67%. There were 40 cases of huge babies, accounting for 62.5% of the total dystocia. The maternal uterine height and abdominal circumference, birth process and neonatal body height, body weight, chest circumference, head circumference of two groups had obvious difference. Conclusion The incidence of shoulder dystocia is low, but macrosomia is more important in shoulder dystocia, and the best way is to control thecomplications of maternal and neonatal complications.