剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的临床效果

屈劼

（陕西省宝鸡市眉县妇幼保健院，陕西宝鸡，722300）

浏览次数：84次 下载次数：544次

摘要：

目的 分析并探讨剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的临床效果。方法 选取2015年2月至2016年2月我院收治的足月妊娠临产胎儿窘迫产妇260例，按照住院顺序分为观察组和对照组，其中，观察组120例，对照组140例。观察组产妇行剖宫产，对照组产妇行阴道助产，对比两组胎儿窘迫的发生因素、两组产妇的分娩结局及新生儿的健康情况。结果 两组胎儿发生窘迫的因素比较，差异无统计学意义（P>0.05）。观察组新生儿在分娩过程中并发症的发生率为6.67%，低于对照组的17.14%，差异具有统计学意义（P<0.05）。观察组新生儿的窒息发生率为30.83%，明显低于对照组的46.43%，差异具有统计学意义（P<0.05）。结论 对足月妊娠临产胎儿窘迫进行抢救时，阴道助产术及剖宫产术都能挽救胎儿生命，剖宫产术下新生儿发生并发症的概率较低，胎儿重度窒息的发生率较低，值得临床推广应用。

关键词：剖宫产术；阴道助产术；足月妊娠；胎儿窘迫

中图分类号：R719.8文献标志码：A文章编号：2096-1413(2017)10-0124-02

Clinical effect of cesarean section and vaginal delivery on parturient term pregnancy with fetal distress

QU Jie

(Maternal and Child Health Hospital of Mei County, Baoji 722300, China)

ABSTRACT: Objective To analyze and explore the clinical effect of the cesarean section and vaginal delivery on parturient term pregnancy with fetal distress. Methods Two hundred and sixty cases puerperas of full-term pregnant fetal distress in our hospital from February 2015 to February 2016 were selected, all puerperas were divided into observation group (n=120) and control group (n=140) according to the admission order. The observation group received cesarean section, while the control group accepted vaginal delivery. The causative factors of fetal distress, delivery outcomes and health of the fetal of the two groups were compared. Results There was no significant difference in causative factors of two groups (P>0.05). The complication incidence rate of fetal in observation group was 6.67%, which was lower than 17.14% of the control group (P<0.05). The asphyxia rate of the observation group was 30.83%, which was lower than 46.43% of the control group (P<0.05). Conclusion Vaginal delivery and cesarean section can rescue the life of the fetal for puerperas with full-term pregnant fetal distress. The rate of complication and fetal distress with the cesarean section are lower than those of the vaginal delivery. Therefore, the cesarean section deserved application and popularization in clinic.

KEYWORDS: cesarean section; vaginal delivery; full-term pregnancy; fetal distress

参考文献：
[1] 吕金兰,杨立华.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的应用效果探讨[J].白求恩军医学院学报,2012,10(6):500-501.
[2] 刘韧平.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的应用[J].国际护理学杂志,2014,32(8):2038-2039.
[3] 王志红,王云芳,郭英,等.剖宫产与阴道助产在足月妊娠临产胎儿窘迫的母婴结局影响分析[J].中国基层医药,2014,21(5):686-687.
[4] 郭红.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的疗效观察[J].中国现代药物应用,2013,7(14):110-111.
[5] 曹庆瑛.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的疗效观察[J].当代医学,2014,20(3):45-46.
[6] 金霞.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的临床效果[J].中国实用医刊,2014,41(21):81-82.
[7] 曾异姣.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的疗
效观察[J].中国现代医生,2014,52(4):136-138.

[8] 姚丽娟,王志红.剖宫产与阴道助产术在足月妊娠临产胎儿窘迫中的应用效果[J].中国妇幼保健,2013,28(17):2816-2817.
[9] 单丹.剖宫产术与阴道助产术在足月妊娠临产胎儿窘迫中的应用效果探讨[J].河南外科学杂志,2014,20(2):65-66.
[10] FOUREUR M,RYAN CL,NICHOLL M.Inconsistent evidence, anal-ysis of six national guidelines for vaginal birth after cesarean section[J].Birth,2012,37(1):3-10.
[11] CHO CE,NORMAN M.Cesarean section and development of the im-mune system in the offspring[J].Ame J Obstet Gynecol,2013,208(4):249-254.
[12] MAROTTA ML,DONNEZ J,SQUIFFLET J,et al.Laparoscopic repair of post-cesarean section uterine scar defects diagnosed in nonpregnant women[J].J Minim Invasive Gynecol,2013,20(3):386-391.