研究气囊助产术在剖宫产后阴道分娩中的临床应用

Clinical Application of Airbag Midwifery in Vaginal Delivery after Cesarean Section

目的:观察针对剖宫产阴道分娩产妇行气囊助产术的临床效果。方法:选取2015年1月~2017年1月期间某院住院选择经阴道分娩的剖宫产再次妊娠产妇150例,随机分组为研究组(行气囊助产术)和对照组(不使用气囊助产术)各75例,观察比较两组产妇各产程时间、产妇产时及产后2h出血量、新生儿产后情况及分娩结局等。结果:研究组产妇各产程时间明显低于对照组(P<0.05);研究组产妇产时出血量、产后2h出血量及新生儿Apgar评分与对照组比较均无明显差异(P>0.05),但研究组新生儿窒息率明显低于对照组(P<0.05);研究组产钳助产、软产道裂伤总发生率明显低于对照组(P<0.05)。结论:剖宫产阴道分娩产妇行气囊助产术效果较好,可明显缩短产程,降低新生儿窒息率,改善分娩结局,值得在临床推广应用。

Objective:To observe the clinical effect of airbag midwifery in vaginal delivery after cesarean section.Methods:150 cases of re-pregnant women who chose vaginal delivery after cesarean section in a hospital from January 2015 to January 2017 were selected and randomly divided into study group(received airbag midwifery)and control group(without airbag midwifery),with 75 cases in each group.The time of each stage of delivery,the amount of blood lost during delivery and 2 hours after delivery,the postpartum situation of newborn,the outcome of delivery,and other indexes were observed and compared between the two groups.Results:The duration of each stage of labor in study group was significantly lower than that in control group(P<0.05);There was no significant difference between the study group and the control group in the amount of blood loss during delivery and 2 hours after delivery,and the Apgar score of the newborn.(P>0.05);The neonatal asphyxia rate in the study group was significantly lower than that in the control group(P<0.05);The total incidence of forcepsdelivery and laceration of soft birth canal in the study group was significantly lower than that in the control group(P<0.05).Conclusion:The effect of airbag midwifery in vaginal delivery after cesarean section is good,which can obviously shorten the labor,decrease the rate of neonatal asphyxia,improve the delivery outcome,and is worthy of clinical promotion and application.