阴道产钳助产在降低剖宫产率中的作用

Role of Vagina Forceps Delivery in Reducing the Rate of Cesarean Section

目的分析探讨阴道产钳助产技术在降低剖宫产率中的作用。方法回顾性分析2016年5月至2018年4月我院收治的102例孕妇资料,按照分娩方式不同将患者分为研究组和对照组。当产程出现异常时,研究组产妇优先考虑阴道产钳助产,失败后则选择剖宫产(n=51),对照组产妇直接采用剖宫产终止妊娠(n=51)。比较两组产妇的剖宫产率、产妇术后并发症、盆底肌力及新生儿健康状况,用阿氏评分(Apgar)作为新生儿健康状况评定标准。结果研究组产妇剖宫产率低于对照组;研究组产妇术后并发症发生率低于对照组;研究组新生儿Apgar评分高于对照组,差异具有统计学意义(P<0.05);两组产妇Ⅰ类、Ⅱ类肌纤维异常率无差异,不具有统计学意义(P>0.05)。结论阴道产钳助产可显著降低分娩困难产妇剖宫产率,临床上应重视助产技术,严格控制剖宫产指征,在确保母婴安全的情况下,产程异常的产妇应优先考虑采用阴道产钳助产。

Objective To investigate the role of vagina forceps delivery in reducing the rate of cesarean section.Methods The data of 102 pregnant women admitted to our hospital from May 2016 to April 2018 were retrospectively analyzed.The patients were divided into study group and control group according to different delivery modes.In case of difficult labor,the study group(n=51)received the vagina forceps delivery,while the control group(n=51)directly used cesarean section.Then the cesarean section rate,maternal postoperative complications,pelvic floor muscle strength,and neonatal health status(Apgar score)were compared between the two groups.Results The cesarean section rate of the study group was significantly lower than that of the control group;the postoperative complication rate of the study group was significantly lower than that of the control group;the Apgar score of the neonate in the study group was significantly higher than that of the control group(P<0.05);The abnormal rate of type Ⅰ and Ⅱ muscle fiber showed no significant difference between groups(P>0.05).Conclusion The application of the vaginal forceps in difficult labor can reduce the cesarean section rate.In clinical practice,attention should be paid to midwifery technology and strict control of cesarean section indications.Under the condition of ensuring the safety of mothers and infants,the parturient with abnormal labor process should give priority to using vaginal forceps to assist labor.