徒手矫正持续性枕后位的观察研究  

Study for Manual Correction of Persistent Occipitoposterior Position

作　　者：杨衬[1] 杨冬晓[1] 罗淑桂[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《实用护理杂志》2001年第9期26-27,共2页Journal of Practical Nursing

摘　　要：目的　观察活跃期施行徒手矫正持续性枕后位的临床效果。方法　选择妊娠 37～ 42周 ,先兆临产经B超检查证实为枕后位的产妇 15 0例 ,随机分为 2组 ,观察组 70例 ,对照组 80例。 2组均行催产处理 ,其中观察组加用经阴道徒手旋转儿头 ,辅以经孕妇腹部推儿背为脊前方位的矫正手法 ,比较 2组生产结果。结果　观察组有 5 8例经阴道分娩 ,占 82 6 % ;对照组仅 19例经阴道分娩。 2组比较 ,差异有显著意义 (χ2 =5 2 .2 1,P <0 .0 0 1)。Objective\ To observe clinical effect of manual correcting persistent occipitoposterior position during active stage.Method\ 150 parturiens who were 37～42 weeks and threatened labor which were verified as occipitoposterior position by ultrasound were divided into observe group and control group in random.The observe group were 70 parturiens,and other group were 80 parturiens.All parturiens were enforced labor by intravenous pitocin,and changed posture of parturiens,or blocked the edema cervix.In the observe group,the fetal position was failed to changed into occiput anterior position.Who were rotated the heads of fetal vai vagina,and simultaneously pushed fetal dorsum on abdomen of parturiens.In the control group,parturiens were not received manual correction.Result\ In laboratory group,58 parturiens (82.86%) were labored by vagina.In control group,19 parturiens (23.75%) were labored by vagina.There was significance difference between two groups (χ 2=52.21,P<0.001).Conclusion\ It could lower down the rate of dystocia by manual correcting persistent occipitoposterior position during active stage.

关 键 词：持续性枕后位 徒手矫正 分娩 

分 类 号：R714.44[医药卫生—妇产科学]