摘要
目的:通过临床分析观察,找出第二产程和头盆不称的关系。结果:通过对该院276例临床病例进行分组研究,一组为头盆不称组,共56例;另外一组为第二产程异常组,共220例。通过研究发现,在276例中剖宫产83例,头盆不称56例则全部实行剖宫产,占总剖宫产的67.47%;体重大于4 000 g的婴儿共33例,其中头盆不称组有13例,占到总数的39.4%;276例产妇中出现软产道继发裂伤、产后出血、产褥感染以及伤口愈合不良的共计83例,而在头盆不称组有37例,占到83例中的44.58%。结论:头盆不称是造成第二产程异常的原因之一,也是导致剖宫产、对产妇造成不良影响的重要因素,如果能够恰当的处理好头盆不称则可以有效地降低第二产程异常的发生率,降低新生儿和产妇的危险。
Objective： To observe the relationship between second stage of labor and eephalopelvic disproportion. Methods： 276 cases were divided into cephalopelvic disproportion group （56 cases） and abnormal second stage of labor group （220 cases） . Results： 83 cases underwent cesarean section, including 56 cases in cephalopelvic disproportion group, accounting for 67.47% ; body weight greater than 4 000 g was 33 cases, including 13 cases in cephalopelvie disproportion group, accounting for 39.4% ; the amount of soft birth canal lacera- tion, postpartum hemorrhage, puerperal infection and poor wound healing was 83 cases, including 37 cases in cephalopelvic disproportion group, accounting for 44.58%. Conclusion： Cephalopelvic disproportion is the cause of abnormal second stage of labor and a vital effect factor of cesarean section and maternal adverse reactions, proper treatment of cephalopelvic disproportion may reduce the incidence of abnor- mal second stage of labor and risk of mothers and infants.
出处
《中国妇幼保健》
CAS
北大核心
2009年第34期4818-4819,共2页
Maternal and Child Health Care of China
关键词
第二产程
头盆不称
临床观察
Second stage of labor
Cephalopelvic disproportion
Clinical observation
