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
5期
1084-1086
,共3页
麻醉镇痛分娩%体位管理%枕后位%自然分娩
痳醉鎮痛分娩%體位管理%枕後位%自然分娩
마취진통분면%체위관리%침후위%자연분면
anaesthetic analgesia childbirth%posture managing%occiput posterior position%natural birth
目的：探讨体位纠正联合麻醉镇痛矫正枕后位的临床效果。方法选择进入临产的单胎头位初产妇80例，宫口开大2～3cm，经阴道或B超检查确认为枕后位。随机将其分为两组：观察组40例，实施麻醉镇痛并在产程中进行特殊体位矫正胎方位；对照组40例，未实施麻醉镇痛，自由体位，对两组的治疗效果进行比较分析。结果观察组未见发生新生儿窒息病例，而对照组有4例，占10．0％。观察组胎方位改变、自然分娩率高于对照组（χ2值分别为4．381和5．950，均P＜0．05），而胎儿宫内窘迫发生率明显低于对照组（χ2＝0．933，P＜0．05）。结论产程中体位纠正联合麻醉镇痛能及时矫正胎儿枕后位，提高阴道自然分娩率，降低剖宫产率。
目的：探討體位糾正聯閤痳醉鎮痛矯正枕後位的臨床效果。方法選擇進入臨產的單胎頭位初產婦80例，宮口開大2～3cm，經陰道或B超檢查確認為枕後位。隨機將其分為兩組：觀察組40例，實施痳醉鎮痛併在產程中進行特殊體位矯正胎方位；對照組40例，未實施痳醉鎮痛，自由體位，對兩組的治療效果進行比較分析。結果觀察組未見髮生新生兒窒息病例，而對照組有4例，佔10．0％。觀察組胎方位改變、自然分娩率高于對照組（χ2值分彆為4．381和5．950，均P＜0．05），而胎兒宮內窘迫髮生率明顯低于對照組（χ2＝0．933，P＜0．05）。結論產程中體位糾正聯閤痳醉鎮痛能及時矯正胎兒枕後位，提高陰道自然分娩率，降低剖宮產率。
목적：탐토체위규정연합마취진통교정침후위적림상효과。방법선택진입임산적단태두위초산부80례，궁구개대2～3cm，경음도혹B초검사학인위침후위。수궤장기분위량조：관찰조40례，실시마취진통병재산정중진행특수체위교정태방위；대조조40례，미실시마취진통，자유체위，대량조적치료효과진행비교분석。결과관찰조미견발생신생인질식병례，이대조조유4례，점10．0％。관찰조태방위개변、자연분면솔고우대조조（χ2치분별위4．381화5．950，균P＜0．05），이태인궁내군박발생솔명현저우대조조（χ2＝0．933，P＜0．05）。결론산정중체위규정연합마취진통능급시교정태인침후위，제고음도자연분면솔，강저부궁산솔。
Objective To explore the clinical results of correcting posture combining anesthesia analgesia in rectifying occiput posterior position.Methods Eighty primiparas with single head position to labor were selected, and their cervixs were open about 2-3cm.Their fetus were confirmed as occiput posterior position by vaginal or B ultrasonic examination.All cases were randomly divided into two groups with 40 in each.Observation group accepted anesthesia analgesia and special fetal positions correcting in labor, while control group did not receive anesthesia analgesia and had free posture.Results In observation group, there was no neonatal asphyxia case, while 4 cases were found in the control group, accounting for 10.0%.Changes in fetal position was much and the natural birth rate was higher in the observation group than in the control group (χ2 value was 4.381 and 5.950, respectively, both P<0.05), but the incidence of fetal distress was significantly lower than the control group (χ2 =0.933,P <0.05).Conclusion In labor position correcting combining anesthesia analgesic can timely rectify occiput posterior position, improve vaginal birth rate and reduce cesarean rate.
