新式头位分娩评分法对判断初产妇持续性枕横位、枕后位分娩方式的临床价值  

A Clinical Study of Improved Scoring for Head-position Delivery in Primiparas with Persistent Occiput Posterior Position or Persistent Occiput Transverse Position

作　　者：刘薇[1] 李玉珍[1] 

机构地区：[1]聊城市人民医院,山东聊城252000

出　　处：《实用妇产科杂志》2007年第4期239-241,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:设计一种在临床上能更及时、准确地做出顺产与难产判断的头位分娩评分法,并探讨其对判断初产妇持续性枕横位、枕后位分娩方式的临床价值。方法:拟定新式头位分娩评分法,对236例诊断为持续性枕横位、枕后位的初产妇进行临床分析。结果:新式头位分娩评分法总分小于70分者,90.63%行剖宫产术,大于80分者91.49%经阴道分娩(P<0.01),无一例严重母婴并发症发生。结论:新式头位分娩评分法全面地对整个产程及胎儿情况进行量化评分,对顺产与难产做出综合判断,在确保母婴安全的情况下,尽可能地降低了剖宫产率。Objective： To design an improved scoring for head- position delivery, and investigate its value in persistent occiput posterior position（POPP） or persistent occiput transverse position（POTP）. Methods： Set up the improved scoring and apply it to the clinical analysis in 236 primiparas with POPP or POTP. Results：According to this improved scoring, there was 90.63 % of caesarean section when the score less than 70, and 91.49 % of vaginal delivery when the score more than 80. No maternal and fetal complication occurred. Conclusions： The improved scoring for head- position delivery provides a quantitative score to the overall labor and the fetal sauation, so that we could make a better estimation on the normal delivery or dystocia.

关 键 词：新式头位分娩评分法 头位难产 初产 

分 类 号：R714[医药卫生—妇产科学]