同侧俯卧位对枕后位产程活跃期停滞胎方位纠正率和自然分娩率的影响  

Effect of Ipsilateral Prone Position on Fetal Position Correction Rate and Natural Childbirth Rate in Active Phase of Labor Stagnation in Occiput Posterior Position

作　　者：杨琴[1] 吴海波[1] 张艳琴[2] 王宁[1] 王文娟[1] 

机构地区：[1]海军总医院妇产科,北京100048 [2]首都医科大学附属北京世纪坛医院妇产科,北京100038

出　　处：《现代生物医学进展》2017年第4期702-704,共3页Progress in Modern Biomedicine

摘　　要：目的:研究同侧俯卧位对枕后位产程活跃期停滞胎方位纠正率和自然分娩率的影响。方法:选取我院收治的枕后位产程活跃期停滞产妇160例,采取数字随机法分成同侧组自由组,同侧组采取同侧俯卧位治疗,自由组采取自由卧位治疗,比较两组的治疗对产妇的胎方位纠正率及自然分娩率的影响。结果:同侧组胎方位纠正率90.00%,自由组胎方位纠正率31.25%,同侧组胎方位纠正率高于自由组,差异有统计学意义(P<0.05)。同侧组自然分娩率91.25%,自由组自然分娩率77.50%,同侧组自然分娩率高于自由组,差异有统计学意义(P<0.05)。结论:同侧俯卧位可提高枕后位产程活跃期停滞胎方位纠正率和自然分娩率,并且无创简便,是一种有效的干预方法。Objective： To study the effect of ipsilateral prone position on fetal position correction rate and natural childbirth rate in active phase of labor stagnation in occiput posterior position. Methods： 160 pregnant women in in active phase of labor stagnation in occiput posterior position admitted in our hospital were selected and randomly divided into ipsilateral group and free group. Ipsilateral group received ipsilateral prone position therapy, while free group was given free prone position therapy. The effect of therapies on fetal position correction rate and natural childbirth rate of the two groups were compared. Results： The fetal position correction rate of ipsilateral group and free group was 90.00% and 31.25%, respectively, and the difference was statistically significant（P 0.05）. The natural childbirth rate of ipsilateral group and free group was 91.25% and 77.50%, respectively, and the difference was statistically significant（P〈0.05）. Conclusion： Ipsilateral prone position can improve fetal position correction rate and natural childbirth rate in active phase of labor stagnation in occiput posterior position. It is noninvasive and convenient, and is an effective intervention method.

关 键 词：同侧俯卧位 枕后位 产程活跃期停滞 胎方位纠正率 自然分娩率 

分 类 号：R714[医药卫生—妇产科学]