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本文回顾性分析了我院1985年至1992年间129例第二产程延长的病例,其新生儿窒息的发病率为31.8%,其发病原因与胎儿宫内窘迫、孕妇身高、新生儿体重密切相关(P<0.05),而与脐带异常、新生儿性别、使用催产素及分娩方式无显著相关(P>0.05)。新生儿窒息组的第一产程时间、活跃期时间和第二产程时间,均较新生儿正常组延长(P<0.05)。认为正确的阴道助产不失为处理第二产程延长的良好方法,积极试产缩短产程可望降低新生儿窒息的发病率。
This retrospective analysis of our hospital from 1985 to 1992, 129 cases of extension of the second stage of labor, the incidence of neonatal asphyxia was 31.8%, the cause of the disease and fetal distress, pregnant women height, weight of newborns are closely related ( P <0.05), but not related to umbilical cord abnormality, neonatal sex, oxytocin and delivery mode (P> 0.05). Neonatal asphyxia group, the first stage of labor, active time and second stage of labor were longer than the normal newborn group (P <0.05). Believing that correct vaginal delivery is a good way to deal with prolongation of the second stage of labor and actively piloting to shorten the labor process is expected to reduce the incidence of neonatal asphyxia.