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产钳助娩术在头位难产中起着重要的作用,但对母婴时有一定的损伤。本文收集1994年产钳助娩术47例,占同期分娩总数的4.17%。按胎先露高低与骨盆关系分为中位和低位两组产钳术进行比较。结果表明(1)新生儿一分钟Apgar评分,中位产钳组明显高于低位产钳组(P<0.05)。(2)对母体软组织损伤,中位与低位两组相比,中位产钳组明显高于低位产钳组,有显著差异(P<0.05)。(3)手术指征中位组与低位组相比以胎儿宫内窘迫占首位且有显著差异(P<0.05)。因此,产钳术在临床应用中应该注意:对中位产钳而言,非紧急情况,应积极纠正宫内缺氧状况,条件允许情况下,尽量等待儿头下降至S+3或S+3以下并首选Simpson产钳,从而尽可能得到降低母婴并发症的目的。
Obstetric forceps delivery labor in the first dystocia plays an important role, but when the mother and child have some damage. This article collected 47 cases of forceps delivery in 1994, accounting for 4.17% of the total number of deliveries in the same period. According to the relationship between the fetal height and the pelvis was divided into two groups of low and middle forceps were compared. The results showed that (1) Apgar score in neonates was significantly higher than that in the low forceps group (P <0.05). (2) There was a significant difference (P <0.05) in maternal soft tissue injury between the median and the low group in the median forceps group and the low forceps group. (3) The surgical indications of the median group and the low group compared with fetal distress in the first place and significant differences (P <0.05). Therefore, the forceps in clinical application should pay attention to: mid-operative forceps, non-emergency situations, should be actively corrected intrauterine hypoxia, conditions permitting, try to wait for children down to S +3 or S +3 the following and preferred Simpson forceps , So as to achieve the purpose of reducing maternal and child complications as much as possible.