摘要
目的探讨徒手旋转胎头纠正胎方位异常的效果。方法对110例持续性枕横位和枕后位行阴道手转胎头纠正胎方位异常,分析旋转时机、胎儿体重对转位成功的影响。结果 110例中89例成功转为枕前位经阴道分娩,旋转成功率达80.91%;枕横位79例,成功68例,成功率86.08%;枕后位31例,成功21例,成功率67.74%。宫口扩张5～7 cm时的转位成功率最高,为57.30%(51/89);胎儿体重对转位成功率的影响具有统计学意义(P<0.01)。结论徒手旋转胎头方位不增加母体及新生儿并发症,是降低头位难产的一种简便、安全、有效、可行的方法。
eDiscussion of the eitects to correct abnormal fetal position by hand rotation. Methods Analysis of 110 patients with persistent oecipito transverse position and the posterior position corrected by hand rotation. Analysis of rotation time and ietal body weight were important fators on the success of translocation. Results 89 cases in 110 vaginal delivery were success by hand rotation, the rate of success was 80.91%. occipital transverse position was 79 cases,68 cases were succeful, the success rate was 86.08% ; posterior position was 31 cases,21 successful cases, the success rate was 67.74%. cervical expanding to 5 -7cm most likely to succeed, the rate of success was 57.30% （51/89） Fetus body weight on the success rate of transloeation was statistieally significant （P 〈 0.01 ）. Conclusion Hand rotation of fetal head position does not increase maternal and neonatal complications, was a safe, effective and feasible method to reduce the head difficult.
出处
《宁夏医学杂志》
CAS
2012年第3期234-235,共2页
Ningxia Medical Journal
关键词
旋转胎头
胎方位异常
纠正
Rotation
Abnormal fetal position
Correct
