同侧卧位与对侧卧位配合徒手转胎头术在产程中对纠正胎方位的临床比较
投稿时间:2014-12-10  修订日期:2015-01-04  点此下载全文
引用本文:叶雪健,鲍立军,盛秋.同侧卧位与对侧卧位配合徒手转胎头术在产程中对纠正胎方位的临床比较[J].医学研究杂志,2015,44(8):165-167
DOI: 10.11969/j.issn.1673-548X.2015.08.048
摘要点击次数: 1289
全文下载次数: 980
作者单位E-mail
叶雪健 325005 温州市瓯海区人民医院妇产科 qqmm0100@163.com 
鲍立军 710061 西安交通大学医学院第一附属医院妇产科  
盛秋 710061 西安交通大学医学院第一附属医院妇幼中心  
中文摘要:目的 观察同侧卧位与对侧卧位配合徒手转胎头术在产程中对纠正胎方位的临床疗效,以提高自然分娩率。 方法 将2010年1月~2014年8月于笔者医院经阴道分娩过程中出现持续性枕横位及持续性枕后位的500例产妇随机分为实验组及对照组两组,各250例,对照组采用同侧卧位配合徒手转胎头纠正胎方位,实验组采用对侧卧位配合徒手转胎头纠正胎方位,观察比较两组自然分娩率、产程及产妇产后出血率、新生儿窒息率。 结果 实验组顺产率86.0%,对照组顺产率为69.2%,实验组顺产率显著高于对照组(χ2=20.296,P<0.01);实验组剖宫产率为3.6%,对照组剖宫产率为11.2%,实验组剖宫产率显著低于对照组(χ2=10.536,P<0.01);实验组第1产程、第2产程平均时间明显低于对照组(t=12.226、7.498,P<0.05);实验组自然分娩产妇产后出血与新生儿窒息发生率比较,差异无统计学意义(χ2=0.597、0.487,P>0.05)。 结论 同侧卧位与对侧卧位配合徒手转胎头术在产程中对纠正胎方位均具有良好效果,但对侧卧位配合徒手转胎头术更具有优势,值得临床进一步研究推广。
中文关键词:同侧卧位  对侧卧位  徒手转胎头术  胎方位
 
Comparison of the Clinical Effects between Ipsilateral Lateral Position and the Opposite Lateral Position both Coordinated with Manual Rotation of Fetal Head on Fetal Position Correction in Stages of Labor
Abstract:Objective To observe the clinical curative effect of the ipsilateral lateral position and the opposite lateral position both coordinated with manual rotation of fetal head on fetal position correction in stages of labor, thus to improve the spontaneous delivery rate. Methods Five hundred cases of puerperal, who had persistent occiput transverse position and persistent occipitoposterior position during vaginal delivery in our hospital from January 2010 to August 2014, were divided randomly into two groups (experimental group and control group), with 250 cases in each group. Individuals in the control group adopted the ipsilateral lateral position coordinated with manual rotation of fetal head to correct fetal position, while those in the experimental group adopted the opposite lateral position coordinated with manual rotation of fetal head to correct fetal position. The spontaneous delivery rate, stages of labor and postpartum hemorrhage rate, neonatal asphyxia in two groups were observed and compared. Results The spontaneous labor rate of the experimental group was 86.0%, but that of the control group was 69.2%, which indicated that the spontaneous labor rate of experimental group was significantly higher than that of control group (χ2=20.296,P<0.01). Cesarean section rate of the experimental group was 3.6% and thatof control group was 11.2%, which indicated the cesarean section rate of the experimental group was significantly lower than that of the control group (χ2=10.536,P<0.01). The average time of the first and the second stage of labor in the experimental group was significantly lower than that in the control group (t=12.226, 7.498,P<0.05). There was no statistical significance between incidence of maternal postpartum hemorrhage and that of neonatal asphyxia during spontaneous delivery in the experimental group (χ2=0.597、0.487,P>0.05). Conclusion Both ipsilateral lateral position and the opposite lateral position both coordinated with manual rotation of fetal head to correct fetal position in stages of labor have good effects, but the opposite lateral position coordinated with manual rotation of fetal head is more advantageous and is worthy of clinical further research and promotion.
keywords:Ipsilateral lateral position  Opposite lateral position  Manual rotation of fetal head  Fetal position
查看全文  查看/发表评论  下载PDF阅读器

京公网安备 11010502037822号