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

目的探讨剖宫产术与阴道助产在足月妊娠临产胎儿窘迫中的效果。方法将我院2012年1月~2013年1月妇产科住院部收治的108例足月妊娠临产胎儿窘迫的产妇随机分为对照组(n=54)与观察组(n=54),分别采取剖宫产与阴道助产,比较两组母婴结局的差异。结果两组胎儿窘迫各因素比较均无显著性差异(χ2=0.842,0.637,0.654,0.664,0.832,P均>0.05);观察组产后出血发生率明显低于对照组(χ2=7.211,P<0.05);观察组新生儿窒息和缺血缺氧性脑病的发生率低于对照组,但差异不具有统计学意义(χ2=0.732,1.563,P>0.05)。结论阴道助产与剖宫产分娩用于足月妊娠临产胎儿窘迫均能获得较好的母婴结局,临床应根据产妇情况选择合适分娩方式,并尽量降低剖宫产率。

Effect of cesarean section and vaginal delivery surgery in treatment of full-term pregnancy fetal distress in labor

Objective To investigate the effect of cesarean section and vaginal delivery in treatment of full-term pregnancy fetal distress in labor. Methods A total of 108 cases of term pregnancy of labor fetal distress in our hospital from January 2012 to January 2013 were randomly divided into control group （n=54） and observation group （n=54）, they were given cesarean section and vaginal delivery, and differences in maternal and neonatal outcomes were compared. Results There were no significant difference in various factors of fetal distress （χ2=0.842, 0.637, 0.654, 0.664, 0.832, P all〉 0.05）. The incidence of postpartum hemorrhage for observation group was significantly lower than the control group （χ2= 7.211, P〈0.05）. The neonatal asphyxia and hypoxic ischemic encephalopathy rate of the observation group was lower than that of the control group, but the difference was not statistically significant （χ2=0.732, 1.563, P〉0.05）. Conclusion Vaginal delivery and cesarean delivery for parturient fetal distress can obtain better maternal and infant outcomes of pregnancy, we should choose the appropriate mode of delivery according to maternal clinical situation, and reduce the rate of cesarean section.