分娩潜伏期AOP、HPD与初产妇产程时长的关系及对分娩方式的预测价值  

Relationship between AOP, HPD during delivery incubation period and duration of labor stages, and their predictive value for delivery modes in primipara

作　　者：杨元元 孙丹华 嵇萍 YANG Yuanyuan;SUN Danhua;JI Ping(Department of Obstetrics,Sanmenxia Hospital of the Yellow River,Sanmenxia 472000,Henan,China)

机构地区：[1]黄河三门峡医院产科,河南三门峡472000

出　　处：《中南医学科学杂志》2024年第3期474-476,共3页Medical Science Journal of Central South China

摘　　要：目的探讨分娩潜伏期胎头进展角度(AOP)、胎头至会阴距离(HPD)与初产妇产程时长的关系及对分娩方式的预测价值。方法选取初产妇117例,根据最终分娩方式分为阴道分娩组(n=94)、剖宫产组(n=23)。于分娩潜伏期超声测量AOP、HPD,ROC分析AOP、HPD对分娩方式的预测效能。Pearson分析阴道分娩组第二产程时长与AOP、HPD的关系。结果阴道分娩组AOP高于剖宫产组,HPD低于剖宫产组(P<0.05)。ROC分析显示,AOP、HPD联合检测对初产妇分娩方式具有良好的预测效能(P<0.001)。第二产程时长与AOP呈正相关,与HPD呈负相关(P<0.05)。结论分娩潜伏期AOP和HPD与初产妇产程时长相关,且对分娩方式有较高的预测价值。Aim To explore the relationship between angle of progression(AOP)and head-perineum distance(HPD)during delivery incubation period and duration of labor stages,and their predictive value for delivery modes in primipara.Methods A total of 117 primiparas were enrolled.According to the final delivery modes,they were divided into vaginal delivery group(n=94)and cesarean section group(n=23).AOP and HPD were measured by ultrasound during delivery incubation period.The predictive efficiency of AOP and HPD for delivery modes was analyzed by ROC.The relationship between duration of second labor stage and AOP and HPD in vaginal delivery group was analyzed by Pearson correlation analysis.Results AOP in vaginal delivery group was higher than that in cesarean section group,while HPD was lower than that in cesarean section group(P<0.05).ROC curves analysis showed that AOP combined with HPD was of good predictive efficiency for delivery modes(P<0.001).The duration of second labor stage was positively correlated with AOP,while negatively correlated with HPD(P<0.05).Conclusion AOP and HPD during delivery incubation period are correlated with duration of labor stages in primiparas,which have high predictive value for delivery modes.

关 键 词：分娩潜伏期 AOP HPD 初产妇 分娩方式 产程时长 

分 类 号：R714[医药卫生—妇产科学]