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目的探讨顺应宫缩连续娩肩法与传统娩肩法预防肩难产新生儿产伤的效果比较。方法选取2012年9月至2015年9月五华县中医医院产科收治的60例自然分娩肩难产产妇作为研究对象,根据助产接生方式的不同将其分为对照组和观察组,各30例。对照组产妇选择传统娩肩方法进行分娩,观察组产妇采用顺应宫缩连续娩肩法,比较两组新生儿产伤发生情况与产妇产后并发症及产褥期抑郁症发生情况。结果观察组新生儿的轻度窒息、肱骨骨折、臂丛神经损伤、胸锁乳肌血肿发生率均明显低于对照组,差异均有统计学意义(均P<0.05);观察组产妇产道损伤、产后出血、产褥感染、产褥期抑郁症发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论顺应宫缩连续娩肩法可有效改善新生儿及产妇分娩结局,效果较传统娩肩法更胜一筹。
Objective To investigate the effect of concomitant uterine contraction continuous delivery shoulder shoulder method and traditional delivery shoulder shoulder method to prevent birth injury of newborns with shoulder dystocia. Methods Sixty cases of spontaneous shoulder labor and dystocia who were admitted to Wuhua Hospital of Traditional Chinese Medicine from September 2012 to September 2015 were selected as study subjects and divided into control group and observation group according to the mode of midwifery delivery. . In the control group, the traditional delivery of shoulder delivery method was adopted. In the observation group, the maternal application of congenital uterine contractions followed by continuous delivery of shoulder delivery method was used to compare the incidence of neonatal birth injury, postpartum complications and postpartum depression in the two groups. Results The incidence of neonatal mild asphyxia, humeral fractures, brachial plexus injury and sternocleidomastoid hematoma in observation group were significantly lower than those in control group (all P <0.05). In observation group, maternal labor The incidence of trauma, postpartum hemorrhage, puerperal infection and puerperal depression were significantly lower than those of the control group (all P <0.05). Conclusion Concomitant uterine contractions continuous shoulder delivery method can effectively improve the outcome of newborns and maternal delivery, the effect is better than the traditional delivery shoulder method.