外倒转术纠正单胎臀位妊娠产妇胎位的应用价值评价  

Evaluation of the Application Value of External Inversion in Correcting Maternal Fetal Position in Singleton Breech Pregnancy

作　　者：周筱鑫 张茜 ZHOU Xiaoxin;ZHANG Qian(School of Nursing,Xinxiang University,Xinxiang,Henan Province,453000 China)

机构地区：[1]新乡学院护理学院,河南新乡453000

出　　处：《系统医学》2022年第9期171-174,共4页Systems Medicine

摘　　要：目的研究外倒转术纠正单胎臀位妊娠产妇胎位的临床应用效果。方法该研究选择2018年7月—2020年7月该院收治的单胎臀位妊娠产妇100例为研究对象,按照随机数表法分为观察组和对照组,各50例。对照组采用自然纠正法,观察组采用外倒转术纠正胎位。比较两组的分娩方式、分娩时头位率、并发症发生率;分析观察组外倒转成功率、外倒转成功后分娩方式。结果观察组分娩时头位率为76.0%(38/50),高于对照组的46.0%(23/50),差异有统计学意义(χ^(2)=9.458,P<0.05);观察组顺产率为62.0%(31/50),高于对照组的4.0%(2/50),剖宫产率为38.0%(19/50),低于对照组的96.0%(48/50),差异有统计学意义(χ^(2)=38.037,P<0.05);观察组并发症发生率为10.0%(5/50),低于对照组的26.0%(13/50),差异有统计学意义(χ^(2)=4.336,P<0.05)。结论单胎臀位妊娠产妇通过外倒转术纠正胎位,可以有效提升头位分娩率、顺产率,且并发症发生率低,应用价值高。Objective To study the clinical effect of external inversion in correcting the fetal position of singleton breech pregnancy.Methods A total of 100 pregnant women with single breech pregnancy admitted to the hospital from July 2018 to July 2020 were selected as the research subjects.According to the random number table method,they were divided into observation group and control group,with 50 cases in each group.The control group were corrected by natural correction,and the observation group were corrected by external inversion.The delivery methods,the head position rate during delivery,the incidence of complications of the two groups were compared;the success rate of external inversion and the mode of delivery after the successful external inversion in the observation group were analyzed.Results The head position rate in the observation group was 76.0%(38/50)higher than that in the control group 46.0%(23/50),and the difference was statistically significant(χ^(2)=9.458,P<0.05).The vaginal delivery rate in the observation group was 62.0%(31/50),which was higher than that in the control group,which was 4.0%(2/50),the cesarean section rate was 38.0%(19/50),which was lower than 96.0%(48/50)in the control group,and the difference was statistically significant(χ^(2)=38.037,P<0.05).The incidence of complications in the observation group was 10.0%(5/50),which was lower than that in the control group,which was 26.0%(13/50),and the difference was statistically significant(χ^(2)=4.336,P<0.05).Conclusion In singleton breech pregnancy,the correction of fetal position by external inversion can effectively improve the rate of cephalic delivery and vaginal delivery,with low complication rate and high application value,which is worthy of promotion.

关 键 词：外倒转术纠正 单胎臀位妊娠 胎位 应用效果 

分 类 号：R4[医药卫生—临床医学]