产时超声指导在产妇体位矫正胎方位中的临床观察  

Clinical Observation of Intrapartum Ultrasound Guidance in Correcting Fetal Position of Parturient Women

作　　者：潘健 葛莉萍 PAN Jian;GE Liping(Nanning Red Cross Hospital,Nanning,Guangxi 530012,China)

机构地区：[1]南宁市红十字会医院,广西南宁530012

出　　处：《大医生》2019年第20期25-26,共2页Doctor

摘　　要：目的探讨产时超声指导在产妇体位矫正胎方位中的临床效果.方法选取2018年1月至2019年7月南宁市红十字会医院分娩的729例胎头方位不正产妇,随机数表法分为对照组(360例)与观察组(369例).对照组产妇产时未进行体位指导而采取常规操作助产,观察组产妇产时给予体位指导,比较两组产妇的分娩方法与产程时间.结果观察组产妇的自然分娩率明显高于对照组(96.21%vs.70.83%),剖宫产率(3.79%vs.29.17%)明显低于对照组,活跃期时间与第二产程时间均显著短于对照组,差异均有统计学意义(P<0.05).结论产时超声指导在产妇体位矫正胎方位中具有显著临床效果,可明显减少产妇剖宫产率,缩短产程,值得大力推广.Objective To explore the clinical effect of intrapartum ultrasound guidance in correcting fetal position.Methods From January 2018 to July 2019,A total of 729 parturient women with abnormal fetal head orientation who delivered in Nanning Red Cross Hospital were selected and were randomly divided into control group(360 cases)and observation group(369 cases).The control group adopted routine operation midwifery without body position guidance during delivery,while the observation group was given routine operation midwifery and postural instruction.The delivery methods and labor duration were compared between the two groups.Results The natural delivery rate of the observation group was higher than the control group(96.21%vs.70.83%),the cesarean section rate was lower than the control group(3.79%vs.29.17%),and the active stage time and the second stage time of labor in the observation group was significantly shorter than the control group,and the differences were statistically significant(P<0.05).Conclusion Ultrasound guidance during delivery had a significant clinical effect in correcting fetal position,which can significantly reduce the rate of cesarean section,shorten the birth process,and is worthy of vigorous promotion.

关 键 词：超声指导 体位矫正 胎方位 产程 

分 类 号：R47[医药卫生—护理学]