摘要
目的研究手转胎方位在产程中降低剖宫产率的作用。方法方便选取2019年5月—2021年5月福建省龙岩市第二医院产科收治的104例头位难产的初产妇为研究对象。按照信封法分成两组,每组52例。予以常规干预的为对照组,予以手转胎方位干预的为观察组。对比两组产妇自然分娩的成功率、新生儿并发症发生情况、产妇产后并发症情况及新生儿Apgar评分。结果观察组经阴道分娩的成功率为98.08%高于对照组的82.69%,差异有统计学意义(χ^(2)=7.081,P<0.05)。观察组新生儿的并发症总发生率为1.92%低于对照组的15.38%,差异有统计学意义(P<0.05)。观察组产妇并发症发生情况低于对照组,差异有统计学意义(P<0.05)。观察组新生儿出生1 min的Apgar评分高于对照组,差异有统计学意义(P<0.05)。结论手转胎方位在产程中可以明显改善产妇顺产状况,降低剖宫产率,避免产妇及新生儿发生一系列的并发症,有较好临床应用价值。
Objective To study the role of hand-turned fetal orientation in reducing cesarean section rates during labor.Methods A total of 104 cases of first-time parturiens with head dystocia admitted to the Department of Obstetrics of the Second Hospital of Longyan City,Fujian Province from May 2019 to May 2021 were conveniently selected as the study objects.They were divided into two groups according to the envelope method,with 52 cases in each group.The control group was treated with routine intervention,and the observation group was treated with hand rotation.The success rate of natural delivery,incidence of neonatal complications,postpartum complications and neonatal Apgar score were compared between the two groups.Results The success rate of vaginal delivery in observation group(98.08%)was higher than that in control group(82.69%),and the difference was statistically significant(χ^(2)=7.081,P<0.05).The incidence of complications in the observation group was 1.92%lower than that in the control group(15.38%),and the difference was statistically significant(P<0.05).The incidence of maternal complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The Apgar score of newborns in observation group was higher than that in control group at 1 min after birth,and the difference was statistically significant(P<0.05).Conclusion It has good clinical application value,which can obviously improve the parturiency,reduce the cesarean section rate and avoid a series of complications in parturiency and neonates.
作者
李小龙
LI Xiaolong(Department of Obstetrics,Longyan Second Hospital,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2023年第23期48-51,104,共5页
China & Foreign Medical Treatment
关键词
手转胎方位
剖宫产
分娩结局
产后并发症
新生儿状况
Hand-turned fetal orientation
Cesarean delivery
Labor outcomes
Postpartum complications
Neonatal status
