再次剖宫产术中应用剖宫产产钳解决娩头困难的临床效果

目的:探究再次剖宫产术中应用剖宫产产钳解决娩头困难的临床应用效果。方法:在2019年10月~2020年10月所有于本院行再次剖宫产且出现娩头困难问题的产妇中随机选择80例为研究对象,按随机分组方法分为两组,一组40例设定为研究组,一组40例设定为对照组。研究组全部给予剖宫产产钳方法解决再次剖宫产娩头困难问题,对照组全部给予徒手方法解决再次剖宫产术娩头困难问题。分别对两组产妇的手术情况和母婴结局进行对比。结果:研究组在胎儿娩出时间、新生儿Apgar评分、新生儿窒息率、新生儿颅内出血率等方面的表现均优于对照组,差异有统计学意义(P<0.05)。其中,研究组的胎儿娩出时间为(120.3±22.5)min,新生儿Apgar评分为(8.7±2.3)分,而对照组的胎儿娩出时间为(135.8±26.1)min,新生儿Apgar评分为(6.2±2.1)分。新生儿窒息和新生儿颅内出血方面,研究组仅1例新生儿发生窒息,没有新生儿颅内出血病例,窒息率为2.5%,而对照组有8例新生儿窒息,窒息率为20.0%,同时6例出现新生儿颅内出血问题,出血率为15.0%,差异统计学有意义,P<0.05。孕妇结局方面,研究组无子宫切口撕裂问题,而对照组有6例出现子宫切口撕裂,证明产钳具有良好的安全性和实用性,差异统计学有意义,P<0.05。结论:再次剖宫产术中给予产妇剖宫产产钳方法解决娩头困难,可有效提高分娩成功率和安全性,减少产后不良母婴结局的发生。

Clinical Effect of Applying Cesarean Section Forceps to Solve the Difficulty of Head Delivery in Re Cesarean Section

Objective:To explore the clinical application effect,application skills,and precautions of applying cesarean forceps in re-cesarean section to solve the difficulty of delivery head.Methods:From October 2019 to October 2020,80 puerperae who underwent repeat cesarean section in our hospital and had difficulty in delivery of the head were randomly selected as the research objects,and divided into two groups according to the random grouping method,one group was 40 patients.The group was set as the study group,and a group of 40 patients was set as the control group.All patients in the study group were given cesarean section forceps to solve the problem of difficult head delivery in repeat cesarean section,and all patients in the control group were given manual method to solve the problem of difficult head delivery in repeated cesarean section.The surgical conditions and maternal and infant outcomes of the two groups were compared.Results:The performance of the study group was better than that of the control group in terms of fetal delivery time,neonatal Apgar score,neonatal asphyxia rate,neonatal intracranial hemorrhage rate,and the difference was statistically significant(P<0.05).Among them,the fetal delivery time in the study group was(120.3±22.5)minutes,and the neonatal Apgar score was(8.7±2.3)points,while the fetal delivery time in the control group was(135.8±26.1)minutes,and the neonatal Apgar score was(6.2±2.1)points.In terms of neonatal asphyxia and neonatal intracranial hemorrhage,only 1 neonatal asphyxia occurred in the study group,and there was no neonatal intracranial hemorrhage case,and the asphyxia rate was 2.5%.6 cases had neonatal intracranial hemorrhage,the bleeding rate was 15.0%,the difference was statistically significant,P<0.05.In terms of maternal outcomes,there were no uterine incision tears in the study group,while 6 cases in the control group had uterine incision tears.It proved that forceps had good safety and practicability,and the difference was statistically significant,P<0.05.Conclusion:Giving cesarean forceps to puerperae during repeat cesarean section to solve the difficulty of delivery head can effectively improve the success rate and safety of delivery,reduce the occurrence of adverse maternal and infant outcomes after delivery.