徒手矫正持续性枕后位的临床观察  

Clinical observation of correcting persistent occipitoposterior position with bare hand

作　　者：杨衬[1] 杨冬晓[2] 罗淑桂[2] 

机构地区：[1]广东医学院附属福田人民医院护理部,广东深圳518033 [2]广东医学院附属医院护理部,广东湛江524001

出　　处：《南方护理学报》2002年第3期2-3,共2页Nanfang Journal of 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　对 2 0 0例孕 3 7～ 42周 ,先兆临产经B超检查证实为枕后位的产妇 ,随机分为两组 ,观察组 110例 ,采用经阴道徒手旋转胎头 ,辅以经孕妇腹部推儿背为脊前方位联合矫正手法 ,未施行此法的 90例为对照组 ,比较两组生产结果。结果　观察组有 95例经阴道分娩 ,占 86.4% ,对照组仅 2 4例经阴道分娩 ,两组比较 ,差异有显著意义 (P <0 .0 0 1)。结论　活跃期施行徒手矫正持续性枕后位可降低难产发生率。ObjectiveTo observe clinical effect of correcting persistent occipitoposterior position (POPP) with bare hand during active stage.MethodsAffirmatively diagnosed as occipitoposterior position through ultrasound examination, 200 parturients with pregnancy of 37 to 42 weeks and threatened labor were divided into observation group and control groups at random, 110 in the former group and 90 in the latter. In the observation group, the fetuses at occipitoposterior position were manually rotated through vagina, aided with pushing fetal dorsum on parturient abdomen simultaneously. In the control group, parturients did not receive the barehanded correction.ResultsIn the observation group, 95 parturients (84.6%) were labored through vagina, while 24 controls were labored via vagina. There was significant difference between the two groups ( P <0.001).ConclusionThe barehanded correction of POPP during active stage can lower the rate of dystocia.

关 键 词：徒手矫正 持续性枕后位 临床观察 

分 类 号：R714.441[医药卫生—妇产科学] R473.71[医药卫生—临床医学]