体位改变配合手转胎头术纠正持续性枕后位的临床效果  

Clinical effect of postural change combined with manual fetal head rotation in correcting persistent occipitoposterior position

作　　者：杨梅 郑岚琳 何辉嫒 吕波 YANG Mei;ZHENG Lan-lin;HE Hui-ai;LYU Bo(Department of Obstetrics,Women and Children′s Hospital of Hunan,Hu′nan Province,Changsha410006,China;Department of Obstetrics,Changsha Central Hospital,Hu′nan Province,Changsha410006,China)

机构地区：[1]湖南妇女儿童医院产科,湖南长沙410006 [2]湖南省长沙市中心医院产科,湖南长沙410006

出　　处：《中国当代医药》2021年第2期98-100,共3页China Modern Medicine

摘　　要：目的探讨体位改变配合手转胎头术纠正持续性枕后位的临床效果。方法选取2018年8月~2019年1月湖南省长沙市中心医院产科分娩的180例持续性枕后位产妇为研究对象。将2018年8~10月单纯手转胎头法干预产程的90例持续性枕后位的产妇列为对照组,将2018年11月~2019年1月实行体位改变配合手转胎头术干预产程的90例持续性枕后位产妇列为观察组,比较两组在第一产程及第二产程用时、复位成功率的差异。结果观察组第一产程、第二产程用时均短于对照组,差异有统计学意义(P<0.05);观察组复位成功率高于对照组,差异有统计学意义(P<0.05)。结论在持续性枕后位难产过程中,体位改变配合手转胎头术的方法较传统单纯手转胎头法在产程用时及复位成功率上具有优势,是纠正持续性枕后位降低头位难产发生率的有效措施,可在临床上推广应用。Objective To explore the clinical effect of postural change combined with manual fetal head rotation in correcting persistent occipitoposterior position.Methods From August 2018 to January 2019,a total of 180 cases of persistent posterior occipital parturients who gave birth in Changsha Central Hospital of Hu′nan Province were selected as the subjects.90 parturients with persistent occipitoposterior position who underwent manual fetal head transfer intervention during labor from August to October 2018 were included as the control group,and 90 parturients with persistent occipitoposterior position who underwent combined body position change and manual fetal head transfer from November 2018 to January 2019 were included as the observation group,the time and the success rate of reduction in the first and second stages of labor between the two groups were compared.Results The duration of the first and second stages of labor in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05);the success rate of reduction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion In the process of persistent occipitoposterior dystocia,the method of postural change combined with manual fetal head transfer has advantages over the traditional manual fetal head transfer method in terms of labor duration and success rate,which is an effective measure to correct persistent occipitoposterior position and reduce the incidence of cephalic dystocia,and can be popularized and applied in clinical practice.

关 键 词：手转胎头术 持续性枕后位 难产 体位改变 胎方位 综合方法 

分 类 号：R714[医药卫生—妇产科学]