体位改变结合胎头手转对胎位异常产妇分娩方式的影响分析  

Analysis of the Effect of Body Position Change Combined with Fetal Head Rotation on the Delivery Mode of Parturients with Abnormal Fetal Position

作　　者：李君 李芳 鲁晨[1] LI Jun;LI Fang;LU Chen(Department of Obstetrics,Tengzhou Central People's Hospital,Tengzhou 277500,Shandong,China)

机构地区：[1]滕州市中心人民医院产科,山东滕州277500

出　　处：《中外医疗》2024年第18期62-65,共4页China & Foreign Medical Treatment

摘　　要：目的探讨体位改变联合胎头手转在胎位异常产妇分娩方式中的意义。方法单纯随机选取2021年10月—2023年10月滕州市中心人民医院接收的120例产妇为研究对象,根据随机数字法分成对照组(60例)与观察组(60例)。对照组产妇接受体位改变,观察组产妇接受体位改变+胎头手转。比较两组产妇胎位矫正成功率、剖宫产率、新生儿Apgar评分及分娩时间。结果观察组的胎位矫正成功率为65.00%,高于对照组的43.33%;剖宫产率为35.00%,低于对照组的56.67%,差异有统计学意义(χ^(2)=5.673、5.673,P均<0.05)。观察组新生儿Apgar评分优于对照组,差异有统计学意义(P<0.05);观察组分娩时间短于对照组,差异有统计学意义(P<0.05)。结论联合应用体位改变与胎头手转,可以提高胎位异常产妇的胎位矫正成功率,进而降低剖宫产率,缩短产妇分娩时间。Objective To explore the significance of position change combined with fetal head rotation in the delivery mode of mothers with abnormal fetal position.Methods One hundred and twenty cases of puerpera admitted to Teng-zhou Central People's Hospital from October 2021 to October 2023 were simple randomly selected as the study sub-jects,and were divided into the control group(60 cases)and the observation group(60 cases)according to the random number method.Puerpera in the control group received position change,puerpera in the observation group received position change+fetal head hand rotation.The success rate of fetal position correction,cesarean section rate,neonatal Apgar score and delivery time were compared between the two groups.Results The success rate of fetal position cor-rection in the observation group was 65.00%,which was higher than 43.33%in the control group,and the cesarean section rate was 35.00%,which was lower than 56.67%in the control group,and the differences were statistically sig-nificant(χ^(2)=5.673,5.673,both P<0.05).The Apgar score of newborns in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05);the delivery time was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Combined application of posi-tion change and fetal head hand rotation can improve the success rate of fetal position correction in women with abnor-mal fetal position,and then reduce the cesarean section rate and shorten the delivery time of pregnant women.

关 键 词：胎位异常 体位改变 胎头手转 分娩方式 

分 类 号：R473.71[医药卫生—护理学]