头位分娩中正常产程与异常产程的对比研究  

Comparative Study of Normal Labor and Abnormal Labor During the First Stage of Labor

作　　者：孙艳芳 SUN Yanfang(Xinping County People’s Hospital,Xinping 653400,Chin)

机构地区：[1]新平县人民医院,云南新平653400

出　　处：《中外医学研究》2018年第11期107-109,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对比头位分娩中正常产程与异常产程,总结影响头位难产的因素,并提出相关防治措施。方法:选择2014-2017年笔者所在医院分娩产妇300例为研究对象,根据产程情况分为正常产程组与异常产程组,比较两组的胎儿体重、胎方位、产力及分娩方式。结果:产程正常组的胎儿与产程异常组的胎儿体重超过3.5 kg及以上比较,差异有统计学意义(P<0.01),两组胎儿枕前位、枕后位、枕横位的例数比较,差异有统计学意义(P<0.01),其中产程异常组的胎儿胎位异常率显著高于产程正常组(P<0.01),正常产程组产妇产力正常者显著高于异常产程组,其中异常产程组主要以继发性宫缩乏力为主,原发性宫缩乏力为辅,产力异常率显著高于产程正常组(P<0.01),产程正常组自然生产率显著高于产程异常组(P<0.01),其中产程异常组产妇手术产率以剖宫产为主,其次为产钳和腹压,两组手术产率比较差异有统计学意义(P<0.01)。结论:针对临床分娩中各类影响因素,要对产妇的产程进行密切的观察,并认真分析,根据相应情况进行处理,降低新生儿的病死率。Objective：To compare the normal birth process and abnormal stage of labor in head position delivery,and summarize the influencing factors of cephalic presentation dystocia,and put forward relevant prevention and control measures.Method：From 2014 to 2017 in our hospital,300 cases of pregnant women as the research object,according to the labor situation divided into normal labor group and abnormal labor group,two groups of fetal weight,fetal position,production and delivery were compared.Result：Fetal weight more than 3.0 kg and above in two group had significant difference（P〈0.01）,the number of cases of occipital transverse positions,fetal occiput anterior and posterior position in two group had significant difference（P〈0.01）,the abnormal labor group,fetal position abnormality rate was significantly higher than the normal labor group（P〈0.01）,normal labor force in normal labor group was significantly higher than that of abnormal labor group,the abnormal labor group mainly in the secondary uterine inertia,primary uterine atony and abnormal labor force labor rate in abnormal labor group were significantly higher than that of normal labor group（P〈0.01）,labor productivity of natural normal labor group was significantly higher than the abnormal labor group（P〈0.01）,the abnormal labor group operation by cesarean section,followed by forceps and abdominal pressure,the two groups had significant difference（P〈0.01）.Conclusion：According to the various influencing factors in clinical childbirth,we shall closely observe the birth process of the puerpera,and analyze carefully,according to the corresponding situation to deal with,reduce the neonatal mortality rate.

关 键 词：头位分娩 正常产程 异常产程 难产 因素 

分 类 号：R714[医药卫生—妇产科学]