低位产钳与剖宫产对母儿影响相关因素分析

目的　比较低位产钳与剖宫产对母儿影响 ,指导临床正确掌握产钳助产术。方法　对我院1992年 1月至 2 0 0 1年 12月间 112 7例低位产钳和 4 94 5例剖宫产的临床资料进行回顾性分析。结果　产妇并发症 :两组差异无显著意义 (P >0 0 5 ) ,但剖宫产组有 2例发生羊水栓塞、4例因术时出血过多行次全子宫切除术、2例因术后出血再次行剖腹探查。新生儿并发症 :低位产钳组新生儿轻度窒息高于剖宫产组 (P <0 0 1) ,而重度窒息及新生儿死亡两组比较差异无显著意义 (P >0 0 5 )。结论　低位产钳并不增加母儿并发症 ,合理应用低位产钳 ,可以在一定程度上降低剖宫产率。

Analysis of the related factors between maternal-fetal impact of low forceps and cesarean section

Objective To discuss the related factors between maternal fetal impact of low forceps and cesarean section in order to direct correct clinical application of forceps dilivery.Methods 1127 cases of low forceps and 4945 cases of cesarean section were retrospectively analyzed in our hospital from January 1992 to December 2001.Results Parturient complications:There was no significant difference between 2 groups(P>0.05),but in cesarean section group 2 cases of amniotic fluid embolism were occurred,4 cesarean hysterectomies were performed because intraoperative hemorrhage and 2 postoperative hemorrhage underwent laparotomy again.Neonatal complications:The incidence of mild neonatal asphyxia in low forceps group were higher than that in cesarean section group(P<0.01),there was no significant difference between 2 groups in severe neonatal asphyxia and neonatal death(P>0.05).Conclusion Low forceps dilivery does not increase maternal fetal complication.The rate of cesarean section can be reduced to a certain degree by reasonable application of low forceps delivery.