CAJ | 학술논문

目的：探讨无痛分娩术联合体位管理纠正胎头位置异常的临床护理疗效，以期提高产妇的分娩质量和纠正胎位异常的有效率。方法选取2013年2月～2014年8月我科行阴道分娩的枕后位或枕横位产妇216例，依据产妇自愿原则分为研究组和对照组，各108例。研究组采用无痛分娩术联合体位管理。对照组采用常规自然分娩法。观察两组产妇纠正胎位异常有效率、阴道手术产率、剖宫产率、产程进展时间、不良反应及并发症发生率，并进行比较。结果研究组纠正胎位异常的有效率、剖宫产率、阴道手术产率、并发症发生率、产程进展时间优于对照组（P＜0．05）；两组不良反应发生率比较无显著性差异（P＞0．05）。结论无痛分娩术联合体位管理，可显著提高产妇的分娩质量和自然分娩率，安全性高，具有良好的妊娠结局。
목적：탐토무통분면술연합체위관리규정태두위치이상적림상호리료효，이기제고산부적분면질량화규정태위이상적유효솔。방법선취2013년2월～2014년8월아과행음도분면적침후위혹침횡위산부216례，의거산부자원원칙분위연구조화대조조，각108례。연구조채용무통분면술연합체위관리。대조조채용상규자연분면법。관찰량조산부규정태위이상유효솔、음도수술산솔、부궁산솔、산정진전시간、불량반응급병발증발생솔，병진행비교。결과연구조규정태위이상적유효솔、부궁산솔、음도수술산솔、병발증발생솔、산정진전시간우우대조조（P＜0．05）；량조불량반응발생솔비교무현저성차이（P＞0．05）。결론무통분면술연합체위관리，가현저제고산부적분면질량화자연분면솔，안전성고，구유량호적임신결국。
Objective Discussion the clinical nursing effect of painless childbirth in combination with body position man‐agement to correct abnormal position of fetal head in order to improve the quality and delivery of natural childbirth rate of maternal .Methods Select 216 cases of pregancy with the vaginal deliveries posterior position or occiput transverse position of maternal in our hospital from February 2013 to August 2014 ,including 108 cases by the use of painless childbirth surgery in combination with body position management as the study group ,while without acceptived surgery painless childbirth and body position management as a control observed group .Two groups of maternal fetal abnormalities corrected efficiency ,ce‐sarean section rate ,time of stages of labor and the incidence of adverse reactions and complications were compared .Result The validity of the study group in correcting abnormal maternal fetal position ,cesarean section rate ,vaginal operative deliv‐ery rates ,postpartum complications and birth process observation time performance than the control group ,in which correct abnormal fetal position effective rate of 75 .93% in the study group ,significantly higher than 49 .07% of the observation group ,the difference was statistically significant (P <0 .05) .There were no statistically significant difference (P> 0 .05) in adverse reaction incidence of maternal in two groups .Conclusion painless childbirth in combination with body position man‐agement can significantly improve the quality and delivery of natural childbirth rate of maternal and safe ,with good pregnan‐cy outcome and should be introduced in clinical practice .