120例剖宫产术中应用自制娩头指套娩头的临床应用

发布时间：2018-03-10 14:42

本文选题：剖宫产娩头指套　切入点：娩头困难　出处：《实用妇产科杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:探讨剖宫产术中采用自制的娩头指套助娩胎头的临床应用效果及安全性。方法:选择2010年6月至2016年1月单胎头位择期及临产早期在天津市第四医院行剖宫产术的360例孕妇为研究对象,采用随机数字表法进行分组,分为娩头指套组、娩头器组、徒手娩头组各120例,对比观察胎儿娩出情况及新生儿情况。结果:与徒手娩头组比较,娩头指套组和娩头器组的娩头时间明显缩短,术中出血量明显减少,子宫切口裂伤、娩头困难、新生儿窒息及新生儿湿肺的发生率均明显降低,差异有统计学意义(P0.05);而娩头指套组与娩头器组各项指标比较,差异均无统计学意义(P0.05)。3组均无新生儿头皮血肿、颅内出血、颜面损伤的发生。结论:应用娩头指套娩头新技术助娩胎头的临床应用效果优于传统的徒手娩头技术。娩头指套因其质地柔韧、轻巧、操作简便且一次性使用,临床应用,易于被接受,具推广价值。
[Abstract]:Objective: To investigate the clinical effect and safety of the fetal head finger to help the delivery of fetal head made in cesarean section. Methods: from June 2010 to January 2016 monocyesis scheduled early in the 360 cases of pregnant women and parturient Tianjin Fourth Hospital underwent cesarean section as the research object, using randomly divided for childbirth fingerstall group, childbirth group, unarmed childbirth 120 cases in each group. The observation of the fetus and newborn. Results: compared with the manual Childbirth Group, childbirth and Childbirth Group finger group the childbirth time was significantly shorter, blood volume decreased significantly in operation, uterine incision laceration. Childbirth difficult, the incidence of neonatal asphyxia and neonatal wet lung were significantly decreased, the difference was statistically significant (P0.05); and the childbirth fingerstall group and Childbirth Group indicators, there were no significant differences (P0.05) in.3 group were no scalp hematoma in neonates , intracranial hemorrhage, facial injury. Conclusion: unarmed childbirth fetal head finger head delivery technology new technology to help the delivery of fetal head is better than the clinical effect of the traditional childbirth finger. Because of its flexible texture, lightweight, simple operation and clinical application of the disposable use, and easy to be accepted, with promotion value.

【作者单位】：天津市第四医院;
【分类号】：R719.8

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