产程活跃期综合干预纠正枕后位的效果观察  

作　　者：王秀珠[1] 徐秀芳[1] 韩晶[1] 

机构地区：[1]泰安市中心医院,山东泰安271000

出　　处：《医学美学美容（中旬刊）》2015年第5期23-24,共2页

摘　　要：目的：探讨产程活跃期综合干预纠正枕后位的临床效果。方法：选择2011—2013年在我院分娩确定为枕后位的初产妇300例，随机分为两组，其中研究组150例，在活跃期的不同时期进行综合干预措施：包括人工破膜、特殊体位、适时加强宫缩；对照组150例，除人工破膜外无干预措施。观察两组产妇的产程进展和分娩方式及胎儿、新生儿情况。结果：研究组孕妇经阴道顺产率明显高于对照组，剖宫产率、胎儿窘迫和新生儿窒息的发生率明显低于对照组，第一产程时间和第二产程时间皆低于对照组，两组结果相比较．其差异具有统计学意义（P〈0．01），结论在产程活跃期对枕后位进行综合干预安全、易行、有效。从而可以确保母婴的安全，提高分娩的质量。Objective ： To investigate the clinical effect of comprehensive intervention for the treatment of the posterior occipital in the active stage of the labor.. Methods ： choose 2011 - 2013 in our hospital childbirth determine occipitoposterior position primipara in 300 cases, were randomly divided to two groups, the study group 150 cases. At various times during the active period of comprehensive intervention measures ： including artificial rupture of membranes, special position, timely to strengthen the contraction ; 150 cases of the control group, except for artificial rupture of membranes without intervention measures. The progress of labor and delivery and the birth of the fetus and the newborns were observed in the two groups.. Results： the study group of pregnant women spontaneous vaginal delivery rate was significantly higher than that of the control group, cesarean section rate, fetal distress and neonatal asphyxia incidence was significantly lower than that of the control group, the first time of birth process and the second stage of labor time were all below the control group, the results compared the two groups, the difference has statistical significance （P 〈 0.01 ）. Conclusion in the active phase of labor on the occiput posterior position of comprehensive intervention is a safe, feasible and effective. So as to ensure the safety of maternal and baby, improve the quality of delivery.

关 键 词：活跃期 枕后位 综合干预 分娩 

分 类 号：R473.73[医药卫生—护理学]