摘要
目的探究胎头旋转法治疗枕后位难产的临床疗效。方法选择2017年1月—2018年1月该院确诊的80例枕后位难产产妇作为研究对象,采用数字随机法分为对照组、观察组,对照组产妇给予常规治疗,观察组产妇给予胎头旋转法治疗,对比两组产妇顺产率、剖宫产率、新生儿Apgar评分以及治疗满意度。结果观察组产妇顺产率为82.50%,高于对照组的60.00%,差异明显(χ^2=4.943,P<0.05);观察组剖宫产率、产后出血量分别为17.50%、(221.75±20.44)mL,均低于对照组的40.00%、(423.48±31.12)mL,差异有统计学意义(χ^2=4.943,t=34.267,P<0.05);观察组新生儿Apgar评分为(8.39±1.52)分,明显高于对照组的(7.42±1.05)分,组间数据对比结果显示:差异有统计学意义(t=3.321,P<0.05)。结论胎头旋转法治疗枕后位难产效果显著。
Objective To explore the clinical efficacy of fetal head rotation in the treatment of post-occipital dystocia. Methods 80 cases of occipital dystocia diagnosed in our hospital from January 2017 to January 2018 were selected as subjects. The patients were randomly divided into the control group and the observation group. The control group received routine treatment and the observation group received maternal treatment. The fetal head rotation method was used to compare the maternal yield, cesarean section rate, neonatal Apgar score and treatment satisfaction. Results The obstetric yield of the observation group was 82.50%, which was higher than that of the control group 60.00%, the difference was significant (χ^2=4.943, P<0.05). The cesarean section rate and postpartum hemorrhage volume of the observation group were 17.50%, respectively (221.75±20.44)mL. The scores were lower than 40.00% of the control group and (423.48±31.12)mL, the difference was significant (χ^2=4.943, t=34.267, P<0.05);the Apgar score of the newborn in the observation group was (8.39±1.52) points. It was significantly higher than the control group (7.42±1.05)ponts, and the comparison between the groups showed that the difference was statistically significant(t=3.321, P<0.05). Conclusion The fetal head rotation method is effective in the treatment of post-occipital dystocia.
作者
李春红
LI Chun-hong(Department of Obstetrics and Gynecology,Qidong Traditional Chinese Medicine Hospital,Qidong,Jiangsu Province,226200 China)
出处
《世界复合医学》
2019年第8期81-83,共3页
World Journal of Complex Medicine
关键词
胎头旋转法
治疗
枕后位
难产
临床疗效
治疗满意度
Fetal head rotation method
Treatment
Posterior occipital position
Dystocia
Clinical efficacy
Treatment satisfaction
