中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
853-854,898
,共3页
枕后位%枕横位%产妇%自由体位%产程
枕後位%枕橫位%產婦%自由體位%產程
침후위%침횡위%산부%자유체위%산정
occiput posterior position%occipito transverse position%puerpera%free posture%birth process
目的 探讨枕后位和枕横位产妇采用自由体位进行分娩对产程的影响. 方法 按照随机数字表法将2011年1月至2014年1月三门县人民医院收治的枕后位和枕横位产妇分为两组,观察组采用自由体位分娩,对照组采用截石位分娩,比较两组的产程时间以及分娩结局. 结果 观察组第一、二产程和总产程时间均小于对照组,差异有统计学意义( t 值分别为6.831、3.178、4.057,均P<0.05),两组第三产程时间比较,差异无统计学意义(t=1.531,P>0.05). 观察组经阴道顺产率(88.78%)高于对照组(64.65%),差异有统计学意义(χ2 =16.020,P<0.01). 观察组产后出血率、新生儿窒息率均低于对照组,差异有统计学意义( t值分别为8.611、3.960,均P<0.05). 结论 枕后位和枕横位产妇在分娩中采用自由体位进行分娩具有加快产程、减少剖宫产和阴道助产率、更有利于母婴健康的特点,临床有重要参考价值.
目的 探討枕後位和枕橫位產婦採用自由體位進行分娩對產程的影響. 方法 按照隨機數字錶法將2011年1月至2014年1月三門縣人民醫院收治的枕後位和枕橫位產婦分為兩組,觀察組採用自由體位分娩,對照組採用截石位分娩,比較兩組的產程時間以及分娩結跼. 結果 觀察組第一、二產程和總產程時間均小于對照組,差異有統計學意義( t 值分彆為6.831、3.178、4.057,均P<0.05),兩組第三產程時間比較,差異無統計學意義(t=1.531,P>0.05). 觀察組經陰道順產率(88.78%)高于對照組(64.65%),差異有統計學意義(χ2 =16.020,P<0.01). 觀察組產後齣血率、新生兒窒息率均低于對照組,差異有統計學意義( t值分彆為8.611、3.960,均P<0.05). 結論 枕後位和枕橫位產婦在分娩中採用自由體位進行分娩具有加快產程、減少剖宮產和陰道助產率、更有利于母嬰健康的特點,臨床有重要參攷價值.
목적 탐토침후위화침횡위산부채용자유체위진행분면대산정적영향. 방법 안조수궤수자표법장2011년1월지2014년1월삼문현인민의원수치적침후위화침횡위산부분위량조,관찰조채용자유체위분면,대조조채용절석위분면,비교량조적산정시간이급분면결국. 결과 관찰조제일、이산정화총산정시간균소우대조조,차이유통계학의의( t 치분별위6.831、3.178、4.057,균P<0.05),량조제삼산정시간비교,차이무통계학의의(t=1.531,P>0.05). 관찰조경음도순산솔(88.78%)고우대조조(64.65%),차이유통계학의의(χ2 =16.020,P<0.01). 관찰조산후출혈솔、신생인질식솔균저우대조조,차이유통계학의의( t치분별위8.611、3.960,균P<0.05). 결론 침후위화침횡위산부재분면중채용자유체위진행분면구유가쾌산정、감소부궁산화음도조산솔、경유리우모영건강적특점,림상유중요삼고개치.
Objective To investigate the effect of free posture on birth process in puerpera with occiput posterior position and occipito transverse position.Methods Cases with occiput posterior position and occipito transverse position admitted in People' s Hospital of Sanmen County in Zhejiang Province from January 2011 to January 2014 were divided into two groups according to random number table method, observation group adopting free posture for delivery and control group using lithotomy position for childbirth.The labor time and delivery outcomes of two groups were compared.Results The first and second stage time and total stage time of birth process in the observation group were less than those in the control group, and the differences were statistically significant ( t value was 6.831, 3.178 and 4.057, respectively, all P<0.05).But there was no significant difference in the third stage time of labor between two groups (t=1.531,P>0.05).The vaginal delivery rate in the observation group (88.78%) was higher than that in the control group (64.65%), and the difference was significant (χ2 =16.020,P<0.01).The rates of postpartum hemorrhage and neonatal asphyxia in the observation group were less than those in the control group, and the differences were significant ( t value was 8.611 and 3.960, respectively, both P<0.05).Conclusion Free posture for cases with occiput posterior position and occipito transverse position during delivery has characteristics of speeding up birth process, reducing cesarean section rate and vaginal delivery rate, which is good for maternal and child health and it has very important clinical reference value.
