360例产妇不同体位纠正持续性枕后位的临床观察  

Clinical observation of different posture correcting persistent occipitoposterior position

作　　者：王静[1] 

机构地区：[1]北京市大兴区妇幼保健院,北京102600

出　　处：《湖南中医药大学学报》2013年第10期45-46,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的研究两种体位对持续性枕后位的影响,以此来提高临床自然分娩的几率。方法我院选择2009年1月-2012年12月间确定为持续性枕后位的360例初产妇,随机将其分为3组,观察Ⅰ组的120例产妇待产时采取与胎儿脊柱同方向的同侧俯卧位,观察Ⅱ组的124例产妇采取同侧俯卧位,通过0.5~1 h小时的观察后,进行阴道检查确定为枕横位时,嘱患者进行对侧俯位待产;对照组的116例患者待产时采取自由卧位。结果 3组产妇进行比较,观察Ⅱ组明显比观察Ⅰ组的纠正率高,差异较为显著(P<0.05),观察Ⅱ组的产妇顺产的几率明显高于对照组和观察Ⅰ组,差异较为显著(P<0.05)。结论枕后位产妇首先进行同侧俯卧位,之后再进行对侧俯卧位,能够有效的纠正胎位方向,此法可提高产妇顺产的几率,减少阴道助产及剖宫产的几率。Objective To study the effects of two kinds of postures of persistent occipitoposterior position, in order to increase the probability of clinical natural childbirth. Method in our hospital from 2009 January-2012 year in December selected as persistent occipitoposterior position of 360 cases of primipara, and randomly divided into three groups, adopt and fetal spinal ipsilateral prone in the same direction as an observation of 120 cases of puerpera predelivery group 1, 124 cases of maternal observation group 2 take the ipsilateral prone who, through the half^l hours after observation, vaginal examination to determine the occiput transverse position, ask the patient to side overlooking the expectant; take free decubitus in 116 patients in the control group during labor. Results by comparing the observation group of women in two, the observation group 2 than in the observation group of 1 correct rate is high, the difference is significant （P〈0.05）, probability of the observation group of 2 maternal delivery was significantly higher than that in the control group and the observation group 1, the difference is significant （P〈0.05）. Conclusion mothers first ipsilateral prone position after the pillow, after contralateral prone position, can correct the fetal position direction effectively, in order to increase the probability of maternal delivery, reduce vaginal delivery and cesarean section rate.

关 键 词：初产妇 不同体位 持续性枕后位 纠正方法 临床观察 

分 类 号：R737[医药卫生—肿瘤]