头位分娩评分法在4 000例孕妇分娩过程中的应用

doi:10.3969/j.issn.1000-8535.2024.02.014

摘要/Abstract

摘要： 目的探讨头位分娩评分法在孕妇分娩过程中的应用价值。方法选取2020年1月—2022年12月于郑州市妇幼保健院进行建档住院的4 000例待产分娩孕妇作为研究对象,所有孕妇在宫口已开时都给予头位分娩评分,观察与记录所有孕妇的分娩方式与头位分娩评分法状况,记录新生儿出生1 min与出生5 min的Apgar评分,记录所有孕妇的产后并发症发生情况。结果在4 000例孕妇中,Apgar评分≤8分者156例、9~10分者894例、≥11分者2 950例。不同头位分娩评分法孕妇的年龄、孕周、孕次、产次对比差异无统计学意义（P>0.05）。≤8分者的剖宫产率为100.0%,9~10分者、≥11分者分别为35.3%、5.7%,对比差异有统计学意义（P<0.05）。≤8分者、9~10分者、≥11分者的新生儿出生1 min与出生5 min的Apgar评分对比差异无统计学意义（P>0.05）。≤8分者、9~10分者、≥11分者的产后发热、产后出血、产后血肿、产后尿潴留等并发症发生率为分别为13.5%、2.0%、0.2%,对比差异有统计学意义（P<0.05）。结论头位分娩评分法在产科中处理头位分娩时具有指导价值,值得推广应用。

关键词: 头位分娩评分法, 孕妇, 自然分娩, 剖宫产, 产后并发症, 新生儿Apgar评分

Abstract: Objective To explore and analyze the application values of the head position delivery scoring method in the delivery process of 4 000 pregnant women．Methods Selected 4 000 cases of pregnant women as the study object,all pregnant women gave head delivery score,observed and recorded the delivery mode and head delivery scoring method,recorded the Apgar score of 1 min and 5 min,and recorded the occurrence of postpartum complications of all pregnant women．Results Among the 4 000 pregnant women,156 scored ≤8,894 scored 9-10,and 2 950 scored ≥11．There was no significant difference in the age,gestational age,pregnancy time and delivery status of pregnant women in different head delivery scoring methods（P>0.05）．The cesarean section of patients with ≤8 score was 100.0%,those with 9-10 score and those with ≥11 score were 35.3% and 5.7%,respectively,and there were significant differences（P<0.05）．There was no significant difference in Apgar score between newborns with ≤8 scores,9-10 scores and ≥11 scores at 1 min and 5 min after birth（P>0.05）．The incidence rates of puerperal fever,postpartum hemorrhage,postpartum hematoma and postpartum urinary retention were 13.5%,2.0% and 0.2% in patients with ≤8 score,9~10 score and ≥11 score,respectively,and there were significant differences（P<0.05）．Conclusions The head delivery scoring method has guiding value in handling head delivery in obstetrics and is worth promoting and applying．

Key words: head position delivery scoring method, pregnant women, natural childbirth, caesarean section, postpartum complications, newborn Apgar score

李芳, 白丽慧, 曹园园, 张倩. 头位分娩评分法在4 000例孕妇分娩过程中的应用[J]. 广州医药, 2024, 55(2): 181-185.

LI Fang, BAI Lihui, CAO Yuanyuan, ZHANG Qian. Application of Head Position Delivery Scoring Method in the Delivery Process of 4 000 Pregnant Women[J]. Guangzhou Medical Journal, 2024, 55(2): 181-185.

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