中国医学创新2025，Vol.22Issue(25)：31-35,5.DOI:10.3969/j.issn.1674-4985.2025.25.008
产时超声在改善第二产程异常产妇妊娠结局中的应用效果
Application Effect of Intrapartum Ultrasound in Improving Pregnancy Outcomes in Parturients with Abnormal Second Stage of Labor
摘要
Abstract
Objective:To investigate the application effect of intrapartum ultrasound in improving pregnancy outcomes in parturients with abnormal second stage of labor.Method:Two hundred parturients with abnormal second stage of labor admitted to the Obstetrics and Gynecology Department of Jiangxi Maternal and Child Health Hospital from January 2023 to September 2024 were selected and divided into the control group and the observation group according to the odd-even number method after envelope numbering,with 100 cases in each group.The control group determined the mode of delivery based on the results of vaginal digital examination,while the observation group determined the mode of delivery based on the results of vaginal digital examination combined with transabdominal and transperineal ultrasound examinations.The delivery methods and the abnormal fetal position during labor of the two groups were statistically analyzed.The duration of labor,the amount of intrapartum hemorrhage and postpartum hemorrhage,the complications related to delivery and the conditions of newborns of the vaginal delivery parturients in the two groups were compared.Result:The vaginal delivery rate in the observation group was higher than that in the control group,and the rate of abnormal fetal position during labor was lower than that in the control group(P<0.05).The second stage of labor,the third stage of labor and the total stage of labor in both groups of vaginal delivery parturients were shorter than those in the control group(P<0.05).The amount of intrapartum hemorrhage and postpartum hemorrhage in the observation group of vaginal delivery parturients were lower than those in the control group(P<0.05).The incidence of delivery-related complications in the observation group was less than that in the control group(P<0.05).There were no statistically significant differences in the comparison of body weight,blood gas indicators(pH value,partial pressure of oxygen,partial pressure of carbon dioxide,lactic acid),and 10-minute Apgar score after birth between the two groups of newborns delivered vaginally(P>0.05).The 1 and 5 min Apgar scores after birth of newborns delivered vaginally in the observation group were higher than those in the control group(P<0.05).The incidence of adverse outcomes in newborns delivered vaginally in the observation group was lower than that in the control group(P<0.05).Conclusion:Vaginal digital examination combined with intrapartum ultrasound can to a certain extent increase the success rate of vaginal delivery for parturients with abnormal second stage of labor,assist in the judgment of fetal position,shorten the stage of labor,reduce the risk of postpartum hemorrhage and delivery-related complications,and at the same time improve adverse neonatal outcomes.关键词
产时超声/第二产程异常/产妇/妊娠结局Key words
Intrapartum ultrasound/Abnormal second stage of labor/Parturient/Pregnancy outcome引用本文复制引用
万俊,曾晓明,袁燕..产时超声在改善第二产程异常产妇妊娠结局中的应用效果[J].中国医学创新,2025,22(25):31-35,5.基金项目
江西省卫生健康委科技计划(202310968) （202310968）
