徒手旋转胎头术在枕横位和枕后位难产中的应用效果评价  

Evaluation of the treatment effect of rotation of fetal head with bare hands on dystocia in occipital transverse position and occipital posterior position

作　　者：单利霞[1] Shan Lixia(Department of Obstetrics,Zhengzhou First People’s Hospital,Zhengzhou 450004,China)

机构地区：[1]河南省郑州市第一人民医院产科,450004

出　　处：《临床医学》2020年第4期14-16,共3页Clinical Medicine

摘　　要：目的探讨徒手旋转胎头术在枕横位和枕后位难产中的应用效果。方法选取2014年11月至2019年10月,在郑州市第一人民医院分娩的60例头位难产产妇,所有产妇均为枕横位或枕后位难产,采用随机数字表法将其分为两组。对照组30例,进行常规干预;观察组30例,在此基础上,应用徒手旋转胎头术。比较两组的自然分娩率,产伤、产后出血发生率,胎盘早剥、新生儿窒息、宫内窘迫、头皮损伤等并发症发生率。结果观察组产妇的自然分娩率(46.67%,14/30)明显高于对照组(20.00%,6/30),剖宫产率明显低于对照组(P<0.05)。观察组产妇的产伤、产后出血发生率明显低于对照组(P<0.05)。观察组新生儿的胎盘早剥、新生儿窒息、宫内窘迫、头皮损伤等并发症发生率明显低于对照组(P<0.05)。结论应用徒手旋转胎头术可提高自然分娩率,减少产妇及新生儿并发症,是处理枕横位以及枕后位难产的可靠手段。Objective To investigate the application effect of freehand rotation of fetal head on the occipital transverse position and occipital posterior position dystocia.Methods From November 2014 to October 2019,60 cases of dystocia in head position were selected,all of them were in occipital transverse position or occipital posterior position,and they were divided into two groups.The 30 cases in the control group received routine intervention,and 30 cases in the observation group received free hand rotation of fetal head.The rate of natural delivery,birth injury,postpartum hemorrhage,placental abruption,neonatal asphyxia,intrauterine distress,scalp injury and other complications were compared between the two groups.Results The natural delivery rate of the observation group(46.67%,14/30)was significantly higher than that of the control group(20.00%,6/30),and the cesarean section rate was significantly lower than that of the control group(P<0.05).The incidence of parturient injury and postpartum hemorrhage in the observation group was significantly lower than that in the control group(P<0.05).The incidence of placental abruption,asphyxia,intrauterine distress,scalp injury and other complications in the observation group were significantly lower than those in the control group(P<0.05).Conclusions It is a reliable method to deal with the dystocia in occipital transverse position and occipital posterior position.

关 键 词：枕后位 枕横位 徒手旋转胎头术 

分 类 号：R714.44[医药卫生—妇产科学]