Kielland产钳“改良牵引法”用于持续性枕横位低位产钳助产术的研究

发布时间：2018-03-19 11:46

本文选题：Kielland产钳　切入点：牵引　出处：《现代妇产科进展》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨改进Kielland产钳助产操作牵引方法。方法:随机选取符合纳入标准的Kielland产钳助产275例,其中145例牵引方法采用"改良牵引法"(研究组),130例牵引方法采用"王历牵引法"(对照组)。比较两组的母婴并发症发生情况。结果:两组产钳助产成功率均为100%。研究组的阴道壁裂伤、产后出血发生率低于对照组,差异有统计学意义(P㩳0.05);两组的宫颈裂伤发生率比较,差异无统计学意义(P0.05)。对照组中有3例会阴Ⅲ度裂伤。研究组的面部皮肤损伤发生率明显低于对照组,差异有统计学意义(P㩳0.01);两组的窒息率比较,差异无统计学意义(P0.05),但对照组有1例新生儿颅内出血导致新生儿重度窒息。结论:Kielland产钳"改良牵引法"可减少产钳助产术后的母婴损伤。
[Abstract]:Objective: to improve the traction method of Kielland forceps delivery. Methods: 275 cases of Kielland forceps were randomly selected. 145 cases of traction were treated with "modified traction method" (study group 130 cases were treated with "Wang Li traction method") (control group). The incidence of maternal and infant complications was compared between the two groups. Results: the success rate of forceps delivery in both groups was 100%. Laceration of the vaginal wall in the study group, The incidence of postpartum hemorrhage was lower than that of the control group (P < 0.05). There was no significant difference in the incidence of cervical laceration between the two groups (P 0.05). In the control group, there were 3 cases of vaginal third degree laceration. The incidence of facial skin injury in the study group was significantly lower than that in the control group (P < 0.05). There was no significant difference in asphyxia rate between the two groups (P 0.05), but there was one case of severe asphyxia caused by intracranial hemorrhage of newborn in the control group. Conclusion the "modified traction method" of 20% Kielland forceps can reduce maternal and infant injury after midwifery of labor forceps.
【作者单位】：江西省妇幼保健院产科;
【基金】：江西省卫生计生委科技计划(其他)
【分类号】：R473.71

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