摘要
目的探讨产程中体位改变联合徒手旋转胎头对枕后位初产妇分娩结局的影响。方法选取2016年3月至2017年3月于我院自然待产的77例单胎初产妇作为研究对象,通过阴检及B超检查确诊为枕后位,随机将其分为对照组(n=37)和研究组(n=40)。对照组行自由体位,研究组采取手抱膝位联合徒手旋转胎头。分析比较两组的产程时间、新生儿Apgar评分、自然分娩率及产道损伤率。结果研究组第一产程、第二产程均显著短于对照组,新生儿Apgar评分显著高于对照组,差异均有统计学意义(P<0.05)。研究组的自然分娩率为87.50%,显著高于对照组的37.84%(P<0.05)。两组产妇的产道损伤率比较差异无统计学意义(P>0.05)。结论产程中体位改变联合徒手旋转胎头能够提高枕后位初产妇的自然分娩率,缩短产程,降低新生儿窒息发生率,安全可靠,值得推广。
Objective To explore the effect of body position change combined with freehand rotation of fetal head during labor on the delivery outcome of primipara with occipitoposterior position. Methods 77 cases of primiparas with natural production in our hospital from March 2016 to March 2017 were selected as the research subjects, and were diagnosed as occipitoposterior position by vaginal examination and B ultrasound. And they were randomly divided into control group（n = 37） and study group（n = 40）. The control group received the free body position, while the study group received the body position of hands holding the knees and freehand rotation of fetal head. The labor time, neonatal Apgar scores, natural delivery rate and birth canal injury rate were analyzed and compared between the two groups. Results The first stage and second stage of labor of the study group were significantly shorter than those of the control group, and the neonatal Apgar score was significantly higher than that of the control group, with statistical differences（P〈0.05）. The natural delivery rate of the study group was 87.50%, significantly higher than 37.84% of the control group（P〈0.05）. No statistical difference was found in the birth canal injury rate between the two groups（P〈0.05）. Conclusions Body position change combined with freehand rotation of fetal head during labor can improve the natural delivery rate of primipara with occipitoposterior position, shorten the labor time and lower the incidence of neonatal asphyxia, which is safe and reliable, which is worthy of promotion.
作者
甄妙平
ZHEN Miaoping(Enping People＇s Hospital,Jiangmen 529000,China)
出处
《临床医学工程》
2018年第7期919-920,共2页
Clinical Medicine & Engineering
关键词
体位改变
徒手旋转胎头
初产妇
枕后位
分娩结局
Body position change
Freehand rotation offetal head
Primipara
Occipitoposterior position
Delivery outcome
