齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2014年
10期
10-11,12
,共3页
特殊体位护理%枕横位%枕后位%剖宫产率%产程
特殊體位護理%枕橫位%枕後位%剖宮產率%產程
특수체위호리%침횡위%침후위%부궁산솔%산정
Special postural care%Occiput transverse position%Occiput posterior position%Cesarean section%Birth process
目的：探讨特殊体位护理在矫正产妇活跃期持续性枕横、枕后位中的应用效果。方法：将140例待分娩的活跃期持续性枕横、枕后位产妇按随机数字表法分为实验组和对照组各70例，对照组产妇采取常规方式待产，实施常规护理；实验组产妇在常规护理基础上实施特殊体位护理，引导产妇取与胎背对侧的膝胸卧位，枕左横及枕左后位产妇向右侧膝胸卧位，枕右横及枕右后位产妇向左侧膝胸卧位。比较两组产妇胎位矫正情况、分娩情况及阴道分娩产程时间。结果：实验组产妇胎位矫正率、顺产率明显高于对照组（P ﹤0.01），产妇剖宫产率明显低于对照组（P ﹤0.01）；实验组产妇第一产程、第二产程及总产程时间均明显短于对照组（P ﹤0.05，P ﹤0.01）。结论：采取特殊体位护理能够有效矫正孕妇枕横、枕后位，降低剖宫产率，缩短阴道分娩产程时间，提高产妇分娩质量，具有较高的临床应用和推广价值。
目的：探討特殊體位護理在矯正產婦活躍期持續性枕橫、枕後位中的應用效果。方法：將140例待分娩的活躍期持續性枕橫、枕後位產婦按隨機數字錶法分為實驗組和對照組各70例，對照組產婦採取常規方式待產，實施常規護理；實驗組產婦在常規護理基礎上實施特殊體位護理，引導產婦取與胎揹對側的膝胸臥位，枕左橫及枕左後位產婦嚮右側膝胸臥位，枕右橫及枕右後位產婦嚮左側膝胸臥位。比較兩組產婦胎位矯正情況、分娩情況及陰道分娩產程時間。結果：實驗組產婦胎位矯正率、順產率明顯高于對照組（P ﹤0.01），產婦剖宮產率明顯低于對照組（P ﹤0.01）；實驗組產婦第一產程、第二產程及總產程時間均明顯短于對照組（P ﹤0.05，P ﹤0.01）。結論：採取特殊體位護理能夠有效矯正孕婦枕橫、枕後位，降低剖宮產率，縮短陰道分娩產程時間，提高產婦分娩質量，具有較高的臨床應用和推廣價值。
목적：탐토특수체위호리재교정산부활약기지속성침횡、침후위중적응용효과。방법：장140례대분면적활약기지속성침횡、침후위산부안수궤수자표법분위실험조화대조조각70례，대조조산부채취상규방식대산，실시상규호리；실험조산부재상규호리기출상실시특수체위호리，인도산부취여태배대측적슬흉와위，침좌횡급침좌후위산부향우측슬흉와위，침우횡급침우후위산부향좌측슬흉와위。비교량조산부태위교정정황、분면정황급음도분면산정시간。결과：실험조산부태위교정솔、순산솔명현고우대조조（P ﹤0.01），산부부궁산솔명현저우대조조（P ﹤0.01）；실험조산부제일산정、제이산정급총산정시간균명현단우대조조（P ﹤0.05，P ﹤0.01）。결론：채취특수체위호리능구유효교정잉부침횡、침후위，강저부궁산솔，축단음도분면산정시간，제고산부분면질량，구유교고적림상응용화추엄개치。
Objective:To explore the application effect of special postural care in the correction of persistent occiput transverse position and occiput posterior position in the active phase. Methods:140 parturient with persistent occiput transverse and occiput posterior position in the active phase were randomly divided into the experimental group and the control group(70 parturient in each group). The routine nursing care was taken in the control group and the special postural care was additionally provided for the parturient in the experimental group. The fetal position correction,delivery and the time of birth process of vaginal delivery were compared between the two groups. Re-sults:The fetal position correction rate and vaginal delivery rate were significantly higher in the experimental group than the control group (P ﹤ 0. 01);the cesarean section rate was significantly lower in the experimental group than the control group(P ﹤ 0. 01);the time of the first and second stage of labor and the time of total stage of labor was significantly shorter in the experimental group than the control group (P ﹤ 0. 05,P ﹤ 0. 01). Conclusion:The special postural care can effectively correct the occiput transverse and occiput posterior position, reduce the cesarean section rate,shorten the time of birth process of vaginal delivery and improve the quality of delivery.
