抬高臀部对胎膜早破残余羊水量流失影响的研究  

Clinical observation for the effect in PROM by set the best height of the run-up hip

作　　者：孙玉红[1] 曹秀芳[1] 刘东彦[1] 宋爱玲[1] 

机构地区：[1]潍坊医学院附属文登中心医院产科,山东文登264400

出　　处：《护士进修杂志》2007年第17期1548-1549,共2页Journal of Nurses Training

摘　　要：目的探讨抬高臀部降低胎膜早破残余羊水量流失的最佳高度。方法根据B超检测羊水指数（AFI），选择AFI偏少者共126例，随机分为三组：观察I组、观察Ⅱ组、对照组各42例。三组在相同治疗条件下绝对卧于平板床。观察I组、观察Ⅱ组行左侧卧位，分别抬高臀部4～6cm、8～10cm对照组行去枕左侧卧位，抬高床尾15°～30°；三组均观察统计卧床后阴道流失残余羊水量，以3h为界限。结果观察Ⅱ组抬高臀部8～10cm，阴道流失残余羊水量较其他两组明显降低，差异有极显著意义（P〈0．01）。结论胎膜早破孕妇抬高臀部8～10cm，为降低残余羊水量流失的最佳高度。Objective To explore the best height of the run-up hip in order to reduce the residual amniotic fluid in PROM. Method The clinical data of pregnant women with PROM were analyzed. All the patients was examined by Ultrasound for detecting the AFI. These who had a little AFI among the 126 patients were categorized into three groups randomly, group of observation I,group of observation Ⅱ ,control group, each group has 42 patients. For group of observation I, left lateral position with the height of run-up hips between 4--6 cm; for group of observation Ⅱ , the left lateral position with the height of run-up hips between 8--10 cm;Contrast with the group and walk rest head on the left lateral position,Raise the tail of bed 15°--30°;Three groups of equal observations are counted after lying in bed,The vagina loses the amniotic fluid of remnants are measured within hours. Result The lost amount of AI was significantly less in group of observation Ⅱ with the height of run-up hip between 10-8 cm than the other groups （P〈0.05）,namely group of observation Ⅰ and group of control. Conclusion The height of the run-up hip between 10-8 cm was the best height in order to reduce the residual AF in PROM, It could reduce the complications of the maternal fetal.

关 键 词：胎膜早破 抬高臀部 最佳高度 

分 类 号：R473.71[医药卫生—护理学] R472[医药卫生—临床医学]