简介: 【摘要】 目的 分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法 收集产检单胎臀位妊娠的 102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿 pH值、黄疸、转儿科 ICU、早产等差异。结果 102例中,成功 63例( 61.8%),失败 39例( 38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义( P均 >0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高( P均 <0.05)。 2组新生儿的 pH值、黄疸和转科率比较差异均无统计学意义( P均 >0.05)。结论 对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。 【关键词】 外转胎位术 ;分娩 ;影响因素 ;妊娠结局 [Abstract] Objective To analyze the influencing factors and pregnancy outcome of single breech transfer. Methods the clinical data of 102 cases of single breech pregnancy were collected, and the age, gestational weeks, BMI before pregnancy, BMI increase during pregnancy, delivery times, amniotic fluid depth, placental position, umbilical cord around the neck and the pregnancy outcome (including the interval of delivery) were compared , gestational week, mode and neonatal pH value, jaundice, transfer to pediatric ICU, premature delivery and other differences. Results among 102 cases, 63 cases were successful (61.8%) and 39 cases failed (38.2%). There was no significant difference in age, gestational age, BMI before pregnancy, BMI increase during pregnancy, delivery time, amniotic fluid depth, placental position, umbilical cord around neck and newborn body mass between the successful group and the failed group (P > 0.05). Compared with the failure group, the delivery interval and gestational weeks of the successful group were longer, and the vaginal delivery rate was higher (P < 0.05). There was no significant difference in pH value, jaundice and transfer rate between the two groups (P > 0.05). Conclusion transvaginal delivery can increase the rate of vaginal delivery and decrease the rate of cesarean section.
简介:摘要目的分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法收集产检单胎臀位妊娠的102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿pH值、黄疸、转儿科ICU、早产等差异。结果102例中,成功63例(61.8%),失败39例(38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义(P均>0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高(P均<0.05)。2组新生儿的pH值、黄疸和转科率比较差异均无统计学意义(P均>0.05)。结论对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。
简介:摘要目的分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法收集产检单胎臀位妊娠的102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿pH值、黄疸、转儿科ICU、早产等差异。结果102例中,成功63例(61.8%),失败39例(38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前BMI、孕期BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义(P均>0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高(P均<0.05)。2组新生儿的pH值、黄疸和转科率比较差异均无统计学意义(P均>0.05)。结论对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。
简介: 【摘要】 目的 分析单胎臀位行外转胎位术的影响因素及妊娠结局。方法 收集产检单胎臀位妊娠的 102例患者临床资料,比较胎头外倒转成功者(成功组)与胎头外倒转失败者(失败组)产妇的年龄、外倒转孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈等危险因素,以及外转胎位术后妊娠结局(包括分娩的间隔、孕周、方式和新生儿 pH值、黄疸、转儿科 ICU、早产等差异。结果 102例中,成功 63例( 61.8%),失败 39例( 38.2%),成功组与失败组患者的年龄、实施外转胎位术的孕周、孕前 BMI、孕期 BMI增加、产次、羊水深度、胎盘位置、脐带绕颈及新生儿体质量比较差异均无统计学意义( P均 >0.05)。与失败组比较,成功组患者的分娩间隔和分娩孕周均较长、阴道顺产率较高( P均 <0.05)。 2组新生儿的 pH值、黄疸和转科率比较差异均无统计学意义( P均 >0.05)。结论 对单胎臀位妊娠实施外转胎位术,可增加阴道顺产率,降低剖宫产率。 【关键词】 外转胎位术 ;分娩 ;影响因素 ;妊娠结局 【 Abstract】 Objective To analyze the influencing factors and pregnancy outcomes of single breech presentation. Methods The clinical data of 102 patients with single breech pregnancy were collected. The maternal age, external reversal gestational age, pre-pregnancy BMI, and pregnancy were compared between those with successful extra-fetal head reversal (successful group) and those with extra-fetal head reversal failure (failed group). Increased BMI, parity, amniotic fluid depth, placental position, umbilical cord around the neck and other risk factors, as well as postoperative pregnancy outcomes (including interval between delivery, gestational age, mode and neonatal pH, jaundice, pediatric ICU, preterm birth) The difference was found. Among the 102 cases, 63 cases (61.8%) were successful, 39 cases (38.2%) were failure, the age of the successful group and the failed group, the gestational age of the transposition of the fetus, the pre-pregnancy BMI, the increase of BMI during pregnancy, and the production There were no significant differences in the amniotic fluid depth, placental position, umbilical cord around the neck and neonatal body mass (P>0.05). Compared with the failed group, the delivery interval and the gestational weeks were longer in the successful group. The yields were higher (P<0.05). There was no significant difference in the pH value, jaundice and transfer rate between the two groups (P>0.05). Conclusion The external fetal position was performed on single breech pregnancy. Can increase the vagina In terms of yield, the cesarean section rate is lowered.
简介:单警装备(IndividualPoliceEquipment)是指警察在执勤过程中所配备的个人基本装备,以提高警察执勤、执法的实战能力。个人基本装备包括警服、多功能腰带、警棍、手铐、催泪喷射器、强光手电、警用多功能工具、水壶、急救包、防割手套、枪支、对讲机、警务通、防刺服、执法记录仪,等等。本文着重讨论现代世界警察通用的多功能腰带式单警装备,以及单警装备的发展趋势。
简介:【摘要】 目的:探讨臀位单胎妊娠孕妇实施外倒转术的成功率及影响因素。 方法:此次所研究的孕妇中不愿意实施外倒转术的有 102 例,并将此设置为期待组,嘱膝胸每天进行两次卧位;此次研究的孕妇中有 104 例愿意实施外倒转术,并将其设置为外倒转术组,在其妊娠 33 ~36 +5 周时对其采取外倒转术。对比两组孕妇分娩时早产以及剖宫产率等并发症的发生率;同时对外倒转术成功率的影响因素进行详细的分析。 结果:对比初产妇和经产妇、妊娠 31 ~35 5 和 35 ~36 5 周以及前壁胎盘和非前壁胎盘采取外倒转术的成功率,并无显著的差异 (以 P > 0.05 作为判定标准 );对比早破发生率、早产率还有脐带绕颈发生率,外倒转术组和期待组并无明显的差异以( P > 0.05 作为判定标准 )。 结论:针对臂位单胎妊娠孕妇采取外倒转术,能够对孕妇的胎位进行有效的矫正,同时可以让剖宫产率得到明显的降低。妊娠 33 周后采取外倒转术,并不会提高早产和胎膜早破的风险。
简介:摘要目的探讨臀位单胎妊娠孕妇实施外倒转术的成功率及影响因素。方法此次所研究的孕妇中不愿意实施外倒转术的有102例,并将此设置为期待组,嘱膝胸每天进行两次卧位;此次研究的孕妇中有104例愿意实施外倒转术,并将其设置为外倒转术组,在其妊娠33~36+5周时对其采取外倒转术。对比两组孕妇分娩时早产以及剖宫产率等并发症的发生率;同时对外倒转术成功率的影响因素进行详细的分析。结果对比初产妇和经产妇、妊娠31~355和35~365周以及前壁胎盘和非前壁胎盘采取外倒转术的成功率,并无显著的差异(以P>0.05作为判定标准);对比早破发生率、早产率还有脐带绕颈发生率,外倒转术组和期待组并无明显的差异以(P>0.05作为判定标准)。结论针对臂位单胎妊娠孕妇采取外倒转术,能够对孕妇的胎位进行有效的矫正,同时可以让剖宫产率得到明显的降低。妊娠33周后采取外倒转术,并不会提高早产和胎膜早破的风险。
简介:目的探讨经皮椎体成形术(PVP)治疗单节段骨质疏松性椎体压缩性骨折(OVCF)术后继发相邻椎体骨折的危险因素。方法回顾性分析2013年3月—2017年3月在宁波市第二医院骨科因单节段OVCF行PVP治疗的140例患者的临床资料,以术后是否继发相邻椎体骨折将患者分为继发骨折组(A组,38例)和无继发骨折组(B组,102例)。记录所有患者术后继发相邻椎体骨折的潜在影响因素,包括非手术因素(年龄、性别、体质量指数、椎体骨密度、楔形角范围、骨折位置、有无外力参与、是否合并糖尿病、是否有糖皮质激素治疗史)和手术因素(骨水泥填充材料、注入量、注入方式、渗漏情况),采用独立样本t检验和χ2检验分析以上因素组间差异是否具有统计学意义,并对差异有统计学意义的因素采用Logistic回归分析评价其与术后相邻椎体骨折的相关性。结果组间比较,椎体骨密度、楔形角范围、骨折位置、有无糖皮质激素治疗史及有无外力参与5个方面差异有统计学意义(P<0.05),纳入相关分析;其余统计数据组间差异无统计学意义。Logistic回归分析显示上述5个指标进入方程,与术后相邻椎体骨折具有相关性。结论椎体骨密度低、楔形角≥15°、骨折位于胸腰交界处、有糖皮质激素治疗史及外力作用5个指标是术后继发相邻椎体骨折的影响因素,手术因素不会增加继发相邻椎体骨折风险。