[1]钟干梅,温玉梅.外倒转术在降低剖宫产率中的应用安全性及影响因素分析[J].医学信息,2025,38(21):95-98.[doi:10.3969/j.issn.1006-1959.2025.21.019]
　ZHONG Ganmei,WEN Yumei.Analysis of Application Safety and Influencing Factors of External Cephalic Versionin Reducing Cesarean Section Rate[J].Journal of Medical Information,2025,38(21):95-98.[doi:10.3969/j.issn.1006-1959.2025.21.019]
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外倒转术在降低剖宫产率中的应用安全性及影响因素分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年21期
页码:
95-98
栏目:
论著
出版日期:
2025-11-01

文章信息/Info

Title:
Analysis of Application Safety and Influencing Factors of External Cephalic Versionin Reducing Cesarean Section Rate
文章编号:
1006-1959（2025）21-0095-04
作者:
钟干梅; 温玉梅
赣州市赣县区妇幼保健院产科，江西 赣州 341100
Author(s):
ZHONG Ganmei;  WEN Yumei
Department of Obstetrics, Ganxian District Maternal and Child Health Hospital of Ganzhou City, Ganzhou 341100, Jiangxi, China
关键词:
外倒转术; 剖宫产; 安全性
Keywords:
External cephalic version;  Cesarean section;  Safety
分类号:
R714.46
DOI:
10.3969/j.issn.1006-1959.2025.21.019
文献标志码:
A
摘要:
目的 探讨外倒转术在降低剖宫产率中应用安全性及其影响因素。方法 选取2022年5月-2024年4月于赣州市赣县区妇幼保健院产科定期产检的孕龄≥37周的单胎臀位行外倒转术的58例孕产妇作为研究对象。对其妊娠结局进行分析，采用单因素分析及多因素Logistic分析探讨足月单胎臀位外倒转术成功的影响因素。结果 58例孕产妇进行外倒转术，倒转成功47例（81.03%），失败11例（18.97%）。不同产次、胎盘位置、脐带异常及是否使用宫缩抑制剂的足月单胎臀位孕产妇的外倒转手术成功率比较，差异有统计学意义（P＜0.05）。不同臀位类型、羊水量的足月单胎臀位孕产妇的外倒转手术成功率比较，差异无统计学意义（P＞0.05）。多因素Logistic分析显示，经产妇、胎盘位置、脐带异常、使用宫缩抑制剂是影响外倒转手术成功的因素（P＜0.05）。结论 经产妇、胎盘位置、脐带异常、使用宫缩抑制剂是影响足月臀位妊娠孕产妇臀位外倒转术成功的影响因素，临床中可针对这些因素给予相应的干预措施。
Abstract:
Objective To investigate the safety and influencing factors of external cephalic version in reducing the rate of cesarean section. Methods From May 2022 to April 2024, 58 pregnant women with gestational age ≥37 weeks who underwent external cephalic version for singleton breech presentation in Ganxian District Maternal and Child Health Hospital of Ganzhou City were selected as the research subjects. The pregnancy outcome was analyzed. Univariate analysis and multivariate Logistic analysis were used to explore the influencing factors of the success of external cephalic version for singleton breech presentation. Results Out of 58 pregnant women, 47 cases (81.03%) were successfully reversed and 11 cases (18.97%) failed. There were statistically significant differences in the success rate of external cephalic version for singleton breech presentation pregnant women with different parity, placental position, umbilical cord abnormality and whether to use uterine contraction inhibitors (P<0.05). There was no significant difference in the success rate of external cephalic version for singleton breech prasentation pregnant women with different breech types and amniotic fluid volume (P>0.05). Multivariate Logistic analysis showed that multipara, placental location, abnormal umbilical cord, and use of uterine contraction inhibitors were the factors affecting the success of external cephalic version (P<0.05). Conclusion Multipara, placental position, umbilical cord abnormality, and use of uterine contraction inhibitors are the influencing factors affecting the success of external cephalic version for singleton breech presentation pregnant women. Corresponding intervention measures can be given to these factors in clinical practice.

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更新日期/Last Update: 1900-01-01