吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
13期
2862-2863
,共2页
张晓茗%汪伟%折瑞莲%高宇%陈学淋
張曉茗%汪偉%摺瑞蓮%高宇%陳學淋
장효명%왕위%절서련%고우%진학림
侧卧位%产前宣教%胎方位%顺产率
側臥位%產前宣教%胎方位%順產率
측와위%산전선교%태방위%순산솔
Lateral decubitus pisitiin%Prenatal educatiin%Pisitiin if fietus%Rate if vaginal delivery
目的:探讨孕晚期采用不同卧位对分娩方式的影响。方法:选择活跃期前入产房待产的孕产妇300例,对其孕晚期产前宣教及采用卧位进行调查,B 超确定其胎儿方位,产程中取对侧卧位,观察其分娩结局。结果:孕晚期经常取侧卧位(试验组)218例,B 超确定枕前位为146例,枕横位51例,枕后位21例。孕晚期自由卧位者(对照组)82例,B 超确定枕前位为37例,枕横位31例,枕后位14例。枕前位顺产168例,顺产率92%,枕横位顺产65例,顺产率79%。枕后位顺产15例,顺产率43%。孕晚期不同卧位对活跃期前枕方位影响有显著性差异,不同枕方位顺产率有显著差异。结论:通过孕晚期体位宣教,孕妇孕晚期采取侧卧位有助于减少头位胎位异常,增加顺产率。
目的:探討孕晚期採用不同臥位對分娩方式的影響。方法:選擇活躍期前入產房待產的孕產婦300例,對其孕晚期產前宣教及採用臥位進行調查,B 超確定其胎兒方位,產程中取對側臥位,觀察其分娩結跼。結果:孕晚期經常取側臥位(試驗組)218例,B 超確定枕前位為146例,枕橫位51例,枕後位21例。孕晚期自由臥位者(對照組)82例,B 超確定枕前位為37例,枕橫位31例,枕後位14例。枕前位順產168例,順產率92%,枕橫位順產65例,順產率79%。枕後位順產15例,順產率43%。孕晚期不同臥位對活躍期前枕方位影響有顯著性差異,不同枕方位順產率有顯著差異。結論:通過孕晚期體位宣教,孕婦孕晚期採取側臥位有助于減少頭位胎位異常,增加順產率。
목적:탐토잉만기채용불동와위대분면방식적영향。방법:선택활약기전입산방대산적잉산부300례,대기잉만기산전선교급채용와위진행조사,B 초학정기태인방위,산정중취대측와위,관찰기분면결국。결과:잉만기경상취측와위(시험조)218례,B 초학정침전위위146례,침횡위51례,침후위21례。잉만기자유와위자(대조조)82례,B 초학정침전위위37례,침횡위31례,침후위14례。침전위순산168례,순산솔92%,침횡위순산65례,순산솔79%。침후위순산15례,순산솔43%。잉만기불동와위대활약기전침방위영향유현저성차이,불동침방위순산솔유현저차이。결론:통과잉만기체위선교,잉부잉만기채취측와위유조우감소두위태위이상,증가순산솔。
Objective Ti study the effect if different lying pisitiin during pregency in delivery mide. Method 300 pregnant wimen whi were befire active periid were selected. We researched their prenatal educatiin and lying pisitiin during pregency,and ibserved their preg-nancy iutcime. Results There were 218 pregnant wimen whi were lateral pisitiin,including 146 pregnant wimen whi were iccipitianterii pisitiin,51 pregnant wimen whi were iccipititransverse pisitiin,and 21 pregnant wimen whi were iccipitipisteriir pisitiin. While there were 82 pregnant wimen whi were free pisitiin,including 37 pregnant wimen whi were iccipitianterii pisitiin,31 pregnant wimen whi were iccipititransverse pisitiin,and 14 pregnant wimen whi were iccipitipisteriir pisitiin. Conclusion Lateral decubitus pisitiin in late pregnan-cy can reduce the head abnirmal fetal pisitiin,increase the rate if vaginal delivery.