俯卧位接产治疗枕后位活跃期停滞分析  

The analysis of prone position midwives in the treatment of stagnation in the occiput posterior position active period

作　　者：孙妍[1] 纪玉霞[1] 陈陆静[1] 

机构地区：[1]广东省东莞市妇幼保健院妇产科,广东东莞523000

出　　处：《中国当代医药》2013年第17期122-123,共2页China Modern Medicine

摘　　要：目的观察枕后位活跃期停滞患者采取俯卧位接产方式进行治疗对待产妇分娩结果的影响,分析引发枕后位的相关因素与俯卧位接产的疗效。方法将本院接收的188例处于枕后位产程活跃期停滞的待产妇予以分组,其中,取俯卧位接产方式的95例待产妇设为观察组,其余93例采取随意卧位者设为对照组,对比两组分娩方式和自然分娩率。结果所有待产妇中出现胎膜早破、继发性宫缩乏力、宫颈水肿、尿潴留血尿现象者分别为75、61、28、24例,分别占39.9%、32.4%、14.9%、12.8%;观察组与对照组自然分娩率分别为90.5%、77.4%,观察组明显高于对照组(P<0.05)。结论指导枕后位活跃期停滞待产妇采用俯卧位接产,可有效降低手术生产的痛苦,提高自然分娩率,该法不失为安全、简便、无创伤、高效的干预疗法,临床可采纳。Objective To observe the prone position deliverY way result in the treatment of stagnation in the occiput posterior position active period, and to analyze the relevant factors caused by posterior bit prone position and the effi- cacy of prone position midwives. Methods 188 patients received by our hospital in the pillow bit after the active phase of stagnation expectant mothers were grouped, of which the 95 cases expectant mothers with prone position confine- ments was set as observation group, the remaining 93 cases taken arbitrarily supine as control group, the mode of de- livery and natural childbirth rate of the two groups was compared. Results The cases of premature rupture of mem- branes, weakness secondary uterine cervical edema, urinary retention, hematuria phenomenon appeared in all the ob- served body were 75, 61, 28, 24 cases respectively, and which accounted for 39.9%, 32.4%, 14.9%, 12.8% respectively; the natural delivery rate of the observation group and control group were 90.5%, 77.4% respectively, which the obser- vation group was significantly higher than that of control group （P 〈 0.05）. Conclusion Guide the posterior position active phase of stagnation expectant mothers confinements in the prone position, can effectively reduce the pain of surgery production, improve the rate of natural childbirth, the method is a safe, simple, non-invasive and efficient in- tervention therapy, and it could adopted by clinical.

关 键 词：俯卧位接产 枕后位活跃期停滞 手术生产 自然分娩 

分 类 号：R473[医药卫生—护理学]