中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
16期
8-10
,共3页
头位难产%胎方位%徒手%体位改变
頭位難產%胎方位%徒手%體位改變
두위난산%태방위%도수%체위개변
Head dystocia%Fetal position%Manual%Postural change
目的：分析体位改变配合徒手矫正胎方位在头位难产中的临床应用价值。方法选择该院在2013年12月-2014年12月收治的110例头位难产产妇作为分析对象，将110例分为观察组与对照组，每组55例，采用两种不同的方法帮助头位难产产妇实现顺利分娩，观察组为体位改变配合徒手矫正，对照组为单纯性徒手矫正。结果观察组的自然分娩率及产钳助产率均高于对照组，两组在自然分娩率上差异有统计学意义(P<0.05)，观察组的剖宫产率明显低于对照组差异有统计学意义(P<0.05)。结论在头位难产中应用体位改变配合徒手矫正的方法可以改善妊娠结局，应推广使用。
目的：分析體位改變配閤徒手矯正胎方位在頭位難產中的臨床應用價值。方法選擇該院在2013年12月-2014年12月收治的110例頭位難產產婦作為分析對象，將110例分為觀察組與對照組，每組55例，採用兩種不同的方法幫助頭位難產產婦實現順利分娩，觀察組為體位改變配閤徒手矯正，對照組為單純性徒手矯正。結果觀察組的自然分娩率及產鉗助產率均高于對照組，兩組在自然分娩率上差異有統計學意義(P<0.05)，觀察組的剖宮產率明顯低于對照組差異有統計學意義(P<0.05)。結論在頭位難產中應用體位改變配閤徒手矯正的方法可以改善妊娠結跼，應推廣使用。
목적：분석체위개변배합도수교정태방위재두위난산중적림상응용개치。방법선택해원재2013년12월-2014년12월수치적110례두위난산산부작위분석대상，장110례분위관찰조여대조조，매조55례，채용량충불동적방법방조두위난산산부실현순리분면，관찰조위체위개변배합도수교정，대조조위단순성도수교정。결과관찰조적자연분면솔급산겸조산솔균고우대조조，량조재자연분면솔상차이유통계학의의(P<0.05)，관찰조적부궁산솔명현저우대조조차이유통계학의의(P<0.05)。결론재두위난산중응용체위개변배합도수교정적방법가이개선임신결국，응추엄사용。
Objective To analyze the clinical value of postural change combined with manual correction of fetal position applied to head dystocia. Methods 110 puerperants with head dystocia admitted in our hospital from December 2013 to December 2014 were selected as the subjects and divided into the observation group and the control group with 55 cases in each. In order to help the puerperants deliver successfully, postural change combined with manual correction of fetal position was given to the observation group, and manual correction of fetal position was given to the control group. Results Compared with the control group, the obser-vation group had obviously higher natural childbirth rate(P<0.05), higher forceps delivery rate and significantly lower cesarean sec-tion rate (P<0.05). Conclusion Postural change combined with manual correction of fetal position can improve the prognosis of pregnancy, so it is recommended to be implemented widely.
