两指法转胎头联合阿托品对持续性枕后位的疗效及对新生儿Apgar评分、新生儿窒息率的影响
摘要
目的探讨两指法转胎头联合阿托品对持续性枕后位的疗效及对新生儿Apgar评分、新生儿窒息率的影响。方法选取经B超及阴道检查确诊的持续性枕后位的产妇202例,依照随机法分为观察组及对照组;对照组采用传统转胎头法进行治疗,观察组采用二指法转胎头联合阿托品治疗;比较2组胎方位纠正率、转位成功率、自然分娩率、经阴道自然分娩率、剖宫产率、难产率、产程时间、新生儿窒息情况。记录产妇血压、血氧饱和度、心率、产程中麻醉禁忌事件发生率、产后满意率、胎心监测、胎心基线变异减少率、双顶径、新生儿Apgar评分及新生儿窒息率。结果观察组胎方位纠正率、转位成功率、自然分娩率、经阴道自然分娩率均明显高于对照组,剖宫产率、难产率均明显低于对照组,观察组产妇血压、心率及血氧饱和度均明显高于对照组,观察组产程中麻醉禁忌事件发生率明显低于对照组,产后满意度明显高于对照组,胎心基线变异减少率明显高于对照组,胎心明显高于对照组,第一产程及第二产程时间均明显短于对照组,双顶径、1 min Apgar评分及窒息率均明显大于或高于对照组,差异有统计学意义(P<0.05)。结论两指法转胎头联合阿托品干预持续性枕后位胎儿,可有效提高临床疗效,改善新生儿Apgar评分,并降低新生儿窒息率。
引文
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[9] Araújo R,Fernandez V,Polcyn MJ,et al.Aspects of gorgonopsian paleobiology and evolution:insights from the basicranium,occiput,osseous labyrinth,vasculature,and neuroanatomy[J].Peer J,2018,5:e3119.
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