中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
600-602
,共3页
待产体位%足月%头位衔接%胎膜早破%分娩结局
待產體位%足月%頭位銜接%胎膜早破%分娩結跼
대산체위%족월%두위함접%태막조파%분면결국
predelivery position%term%cephalic convergence%PROM%birth outcomes
目的：探讨不同待产体位对足月头位衔接的胎膜早破孕妇分娩结局的影响。方法选取2013年1月至2014年1月北京和美妇儿医院收治的足月头位衔接的胎膜早破孕妇120例,随机分为两组,研究组和对照组,每组各60例。研究组产妇入院后不限制其待产体位,采用自由舒适的体位待产,对照组产妇采用常规待产体位。观察并比较两组产妇的分娩情况。结果研究组产妇阴道分娩率显著高于对照组(χ2=6.806,P<0.05),两组产妇均未出现脐带脱垂。研究组产妇失眠、头晕、胸闷、心慌和纳差的发生率均显著低于对照组(χ2值分别为6.125、9.624、15.908、14.400、16.151,均P<0.05),研究组产妇的舒适度高于对照组产妇。研究组第一产程时间、第二产程时间以及产前流出羊水量均显著低于对照组( t值分别为29.559、5.295、15.687,均P<0.05)；而两组产妇产后出血量及新生儿体重差异均无统计学意义(均P>0.05)。研究组产妇尿潴留发生率显著低于对照组(χ2=8.086,P<0.05)；研究组与对照组导尿次数、粪便污染、新生儿窒息以及产褥感染率比较,差异均无统计学意义(均P>0.05)。结论足月头位衔接的胎膜早破孕妇采取自由体位安全可行、并发症发生率较低,对降低剖宫产率、缩短产程具有积极意义,值得临床推广应用。
目的：探討不同待產體位對足月頭位銜接的胎膜早破孕婦分娩結跼的影響。方法選取2013年1月至2014年1月北京和美婦兒醫院收治的足月頭位銜接的胎膜早破孕婦120例,隨機分為兩組,研究組和對照組,每組各60例。研究組產婦入院後不限製其待產體位,採用自由舒適的體位待產,對照組產婦採用常規待產體位。觀察併比較兩組產婦的分娩情況。結果研究組產婦陰道分娩率顯著高于對照組(χ2=6.806,P<0.05),兩組產婦均未齣現臍帶脫垂。研究組產婦失眠、頭暈、胸悶、心慌和納差的髮生率均顯著低于對照組(χ2值分彆為6.125、9.624、15.908、14.400、16.151,均P<0.05),研究組產婦的舒適度高于對照組產婦。研究組第一產程時間、第二產程時間以及產前流齣羊水量均顯著低于對照組( t值分彆為29.559、5.295、15.687,均P<0.05)；而兩組產婦產後齣血量及新生兒體重差異均無統計學意義(均P>0.05)。研究組產婦尿潴留髮生率顯著低于對照組(χ2=8.086,P<0.05)；研究組與對照組導尿次數、糞便汙染、新生兒窒息以及產褥感染率比較,差異均無統計學意義(均P>0.05)。結論足月頭位銜接的胎膜早破孕婦採取自由體位安全可行、併髮癥髮生率較低,對降低剖宮產率、縮短產程具有積極意義,值得臨床推廣應用。
목적：탐토불동대산체위대족월두위함접적태막조파잉부분면결국적영향。방법선취2013년1월지2014년1월북경화미부인의원수치적족월두위함접적태막조파잉부120례,수궤분위량조,연구조화대조조,매조각60례。연구조산부입원후불한제기대산체위,채용자유서괄적체위대산,대조조산부채용상규대산체위。관찰병비교량조산부적분면정황。결과연구조산부음도분면솔현저고우대조조(χ2=6.806,P<0.05),량조산부균미출현제대탈수。연구조산부실면、두훈、흉민、심황화납차적발생솔균현저저우대조조(χ2치분별위6.125、9.624、15.908、14.400、16.151,균P<0.05),연구조산부적서괄도고우대조조산부。연구조제일산정시간、제이산정시간이급산전류출양수량균현저저우대조조( t치분별위29.559、5.295、15.687,균P<0.05)；이량조산부산후출혈량급신생인체중차이균무통계학의의(균P>0.05)。연구조산부뇨저류발생솔현저저우대조조(χ2=8.086,P<0.05)；연구조여대조조도뇨차수、분편오염、신생인질식이급산욕감염솔비교,차이균무통계학의의(균P>0.05)。결론족월두위함접적태막조파잉부채취자유체위안전가행、병발증발생솔교저,대강저부궁산솔、축단산정구유적겁의의,치득림상추엄응용。
Objective To investigate the influence of different predelivery position on birth outcomes of PROM pregnancy with term cephalic convergence. Methods Totally 120 PROM cases with cephalic term convergence were selected from Beijing Hemei Women and Children Hospital during the period of January 2013 to January 2014. They were randomly divided into study group and control group with 60 cases in each group. Without limiting, the study group accepted comfortable position to delivery, while the control group accepted conventional position. The situation of childbirth between two groups was observed and compared. Results The vaginal delivery rate of the study group was significantly higher than the control group (χ2 =6. 806,P<0. 05), and there was no umbilical cord prolapse in both groups. The incidence of insomnia, dizziness, chest tightness, palpitation and anorexia was significantly lower in the study group than in the control group (χ2 value was 6. 125, 9. 624, 15. 908, 14. 400 and 16. 151, respectively, all P<0. 05). The comfortable degree of the study group was higher. The first stage of labor, the second stage of labor and prenatal amniotic fluid outflow of the study group were significantly lower than the control group (t value was 29. 559, 5. 295 and 15. 687, respectively, all P <0. 05), but there were no significant differences in postpartum hemorrhage and birth weight between two groups ( both P>0. 05). The incidence of urinary retention of the study group was significantly lower than the control group (χ2 =8. 086,P<0. 05). The differences in times of catheterization, fecal contamination, and incidence of neonatal asphyxia and puerperal infection between two groups were not statistically significant ( all P>0. 05). Conclusion With low incidence of complication, free position is feasible and safe for PROM pregnant women with term cephalic convergence. It has positive value in reducing cesarean section rate and shortening birth process, so it is worthy of clinical application.
