目的 探讨Kiwi胎头真空吸引器在阴道助产分娩中的应用价值。方法 选取2020年7月至2023年3月于扬州大学临床医学院使用Kiwi胎头真空吸引器实施胎头吸引的初产孕妇30例为胎吸组，同时选取计划阴道分娩而后因特殊原因行剖宫产终止妊娠的孕妇23例为剖宫产组。比较2组术中及术后情况及新生儿相关指标。结果 2组第二产程时间、产时出血量、产后24 h出血量、产后住院时间及软产道损伤、产后会阴水肿发生情况比较，差异无统计学意义(P＞0。05)。2组产后尿潴留发生率比较，差异有统计学意义(P＜0。05)。2组新生儿出生体重及头皮血肿、颅内出血发生情况比较，差异无统计学意义(P＞0。05)。胎吸组新生儿中，3例娩出后1 min Apgar评分分别为8、9、6分。剖宫产组新生儿中，仅1例娩出后1 min Apgar评分为7分。胎吸组新生儿中，有9例(30。00％)因黄疸、呼吸急促、窒息等原因转至新生儿科;剖宫产组新生儿中，有4例(17。39％)因黄疸、新生儿低血糖、鼻塞等原因转至新生儿科。胎吸组转科新生儿中，2例(15。38％)出现高总胆红素血症，剖宫产组未出现高总胆红素血症。胎吸组、剖宫产组新生儿动脉血pH值分别为(7。38±0。02)、(7。45±0。02)，二者比较差异有统计学意义(P＜0。05)。结论 Kiwi胎头真空吸引器操作简便，适用范围广，其应用于阴道助产中有效缩短产程，降低剖宫产率、产妇及新生儿相关并发症发生率。
Research on the application of Kiwi fetal head vacuum suction device in vaginal assisted delivery
Objective To explore the application value of Kiwi fetal head vacuum suction device in vagi-nal assisted delivery.Methods A total of 30 primiparous pregnant women who used Kiwi fetal head vacuum suction device to perform fetal head suction in Clinical Medical College of Yangzhou University from July 2020 to March 2023 were selected as the fetal suction group,and 23 pregnant women who planned vaginal delivery and then underwent cesarean section to terminate pregnancy due to special reasons as the cesarean section group.The intraoperative and postoperative conditions and neonatal related indicators between the two groups were compared.Results There were no statistically significant differences between the two groups in terms of the second stage of labor time,postpartum bleeding volume,postpartum 24-hour bleeding volume,postpartum hospital stay,and incidence of soft birth canal injury and postpartum perineal edema(P＞0.05).There was statistically significant difference in the incidence of postpartum urinary retention between the two groups(P＜0.05).There were no statistically significant differences in birth weight,scalp hematoma,and intracranial hemorrhage between the two groups of newborns(P＞0.05).Among the newborns in the fetal suction group,three cases had Apgar scores of 8,9,and 6 at one minute after delivery.Among the newborns in the cesarean section group,only one case had Apgar score of 7 at one minute after delivery.Among the newborns in the fe-tal suction group,nine cases(30.00％)were transferred to the neonatal department due to jaundice,shortness of breath,asphyxia,and other reasons.Among the newborns in the cesarean section group,four cases(17.39％)were transferred to the neonatal department due to jaundice,neonatal hypoglycemia,nasal conges-tion,and other reasons.Among the newborns transferred to the fetal suction group,two cases(15.38％)showed high total bilirubinemia,while the cesarean section group did not show high total bilirubinemia,and there was no statistically significant difference between the two groups(P＞0.05).The arterial blood pH val-ues of newborns in the fetal suction group and the cesarean section group were(7.38±0.02)and(7.45±0.02),respectively,and the difference between the two was statistically significant(P＜0.05).Conclusion The Kiwi fetal head vacuum suction device is easy to operate and has a wide range of applications.Its applica-tion in vaginal delivery effectively shortens the delivery process,reduces cesarean section rates,maternal and neonatal related complications.
Kiwi fetal head vacuum suction deviceCesarean sectionDelivery
万方数据
维普
