剖宫产与阴道助产术应用于足月妊娠临产胎儿窘迫中的效果比较

Comparison of the Effect of Cesarean Section and Vaginal Midwifery on Fetal Distress in Term Pregnancy

目的探讨剖宫产与阴道助产术对足月妊娠临床胎儿窘迫的影响,为临床应用提供参考价值。方法方便选取该院2016年1月—2018年1月所收治产妇102例,随机分为研究组和对照组。对照组51例,采用阴道助产术;研究组51例,采用剖宫产术。比较两组新生儿Apgar评分、母婴结局及新生儿死亡率差异。结果研究组中,42例新生儿Apgar评分在8分以上,7例在4分以上,重度窒息仅2例;对照组中,4分以下新生儿11例,与对照组相比较,差异有统计学意义(χ~2=5.642,P<0.05)。两组在新生儿窒息、新生儿缺氧方面差异无统计学意义(P>0.05);研究组中,仅出现4例产后大出血,发生率为7.84%,明显低于对照组的25.49%,差异有统计学意义(χ~2=4.518,P<0.05)。研究组未出现新生儿死亡例数,对照组出现2例,差异无统计学意义(χ~2=0.510,P>0.05)。结论剖宫产术有利于足月妊娠胎儿窘迫胎儿迅速娩出,可有效提升新生儿Apgar评分,减少产妇出血症状,改善母婴结局,具有较高安全性和应用价值,在满足剖宫产指征前提下,可作为首选分娩方式在临床推广应用。

Objective To explore the effect of cesarean section and vaginal midwifery on clinical fetal distress of full-term pregnancy, and to provide reference value for clinical application. Methods 102 cases of pregnant women admitted to our hospital from January 2016 to January 2018 were convenient randomly divided into the study group and the control group. In the control group, 51 cases were treated with vaginal midwifery, and 51 cases in the study group were treated by cesarean section. The Apgar scores, maternal and neonatal outcomes and neonatal mortality were compared between the two groups. Results In the study group, the Apgar score of 42 newborns was above 8, 7 were above 4, and only 2 were severe asphyxia. In the control group, 11 newborns were below 4, compared with the control group, the difference was statistically significant(χ^2=5.642,P<0.05). There was no significant difference in neonatal asphyxia and neonatal hypoxia between the two groups (P>0.05);only 4 cases of postpartum hemorrhage occurred in the study group, the incidence was 7.84%, significantly lower than 25.49% in the control group, and the difference was statistically significant (χ^2=4.518,P<0.05). There were no neonatal deaths in the study group and 2 in the control group. The difference between the two groups, with no statistical significance (χ^2=0.510,P>0.05). Conclusion Cesarean section is conducive to rapid delivery of fetal distress in full-term pregnancy, can effectively improve the Apgar score of neonates, reduce maternal hemorrhage symptoms, improve maternal and infant outcomes, with high safety and application value, in order to meet the indications of cesarean section, it can be used as the preferred mode of delivery in clinical promotion and application.