B超联合静滴硫酸特布他林应用于臀位外倒转术的效果

发布时间：2018-06-03 15:45

本文选题：臀位 + 外倒转术　；参考：《实用医学杂志》2017年08期

【摘要】：目的:探讨采取B超联合静滴硫酸特布他林应用于臀位外倒转术的效果及对母儿并发症的影响。方法:选取2014年1月至2016年6月在产检的B超确诊为臀位的孕34~36周的单胎孕妇126例,按随机数字表的方法分为观察组70例,对照组56例。观察组术前行硬膜外麻醉后静滴硫酸特布他林,在B超监护下行外倒转术。对照组行传统的膝胸卧位纠正胎位。记录并比较两组胎位纠正成功率、臀位复转率、剖宫产率、阴道分娩率、不良反应、产后出血、新生儿窒息及新生儿产伤。结果:与对照组比较,观察组胎位纠正成功率和阴道分娩率增高,剖宫产率降低,差异有统计学意义(c2=20.210、8.564,P0.05);两组产后出血、新生儿窒息及新生儿产伤发生率比较,差异无统计学意义(P0.05)。结论:采取B超联合静滴硫酸特布他林应用于臀位外倒转术,成功率高,操作难度小,安全性高,可以显著降低剖宫产率,有效提高阴道分娩成功率。
[Abstract]:Objective: to investigate the effect of B ultrasound combined with intravenous drip of terbutaline sulfate in the operation of breech transposition and its effect on the complications of mother and infant. Methods: 126 single pregnant women diagnosed as breech position by ultrasonography from January 2014 to June 2016 were divided into observation group (n = 70) and control group (n = 56). The observation group was treated with epidural anesthesia and intravenous drip of terbutaline sulfate before operation. In the control group, the traditional knee chest position was used to correct the fetal position. The success rate of position correction, the rate of breech reconversion, the rate of cesarean section, the rate of vaginal delivery, adverse reactions, postpartum hemorrhage, neonatal asphyxia and neonatal injury were recorded and compared between the two groups. Results: compared with the control group, the rate of abortion correction, vaginal delivery and cesarean section in the observation group were higher than those in the control group, and the difference was statistically significant (P 0.05), the incidence of postpartum hemorrhage, neonatal asphyxia and neonatal labor injury was higher in the observation group than in the control group, and there was a significant difference between the two groups in the incidence of postpartum hemorrhage, neonatal asphyxia and neonatal injury. The difference was not statistically significant (P 0.05). Conclusion: B ultrasound combined with intravenous drip of terbutaline sulfate for breech transposition has the advantages of high success rate, low difficulty and high safety. It can significantly reduce the rate of cesarean section and effectively improve the success rate of vaginal delivery.
【作者单位】：广西柳州市妇幼保健院产科;
【基金】：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(编号:Z2015184)
【分类号】：R714.4

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