手转胎头联合夸张膀胱截石位在头位难产中的作用研究  

Study on the effect of hand turning fetal head combined with exaggerated bladder lithotomy position in cephalic dystocia

作　　者：王竞[1] 易晓云[1] 黄佩文 刘湘萍[1] 杨晓文[1] 叶麒[1] 黄珍 王杏 冯媛 文莎莎 刘柏发 WANG Jing;YI Xiaoyun;HUANG Peiwen;LIU Xiangping;YANG Xiaowen;YE Qi;HUANG Zhen;WANG Xing;FENG Yuan;WEN Shasha;LIU Baifa(Department of Obstetrics,Pingxiang People's Hospital,Pingxiang,Jiangxi,337000,China)

机构地区：[1]萍乡市人民医院产科,江西萍乡337000

出　　处：《当代医学》2024年第18期169-172,共4页Contemporary Medicine

基　　金：江西省卫生健康委科技计划(202311692)。

摘　　要：目的探讨手转胎头联合夸张膀胱截石位在头位难产中的作用。方法选取2022年1月至2023年2月于萍乡市人民医院收治的90例头位难产(cephalic dystocia,CD)产妇作为研究对象,按照随机数字表法分为对照组、实验A组与实验B组,各30例。对照组行常规处理措施,实验A组行手转胎头术,实验B组行手转胎头术联合夸张膀胱截石位。比较3组产后出血量、新生儿Apgar评分、分娩结局(阴道助产、自然分娩、剖宫产)及新生儿并发症发生情况。结果实验B组产后出血量少于实验A组、对照组,新生儿Apgar评分高于实验A组、对照组,且产后出血量少于对照组,新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05)。3组阴道助产率、剖宫产率比较差异无统计学意义;实验B组自然分娩率高于对照组,差异有统计学意义(P<0.05)。3组新生儿窒息发生率比较差异无统计学意义;3组宫内窘迫发生率比较差异有统计学意义(P<0.05);实验B组宫内窘迫发生率发生率低于对照组,差异有统计学意义(P<0.05)。结论手转胎头术联合夸张膀胱截石位助产CD产妇,能有效减少产后出血量,提高新生儿Apgar评分及产妇自然分娩率,减少宫内窘迫的发生,值得临床推广应用。Objective To explore the role of hand turning fetal head combined with exaggerated bladder lithotomy position in cephalic dystocia.Methods 90 pregnant women with cephalic dystocia(CD)admitted to Pingxiang People's Hospital from January 2022 to February 2023 were selected as the research subjects,and they were divided into the control group,the experimental group A and the experimental group B according to the random number table method,with 30 cases in each group.The control group was treated with routine treatment measures,the experimental group A was treated with manual fetal head rotation,and the experimental group B was treated with hand turning fetal head combined with exaggerated bladder lithotomy position.The amount of postpartum hemorrhage,neonatal Apgar score,delivery outcome(vaginal midwifery,natural delivery,cesarean section)and neonatal complications were compared among the three groups.Results The amount of postpartum hemorrhage in the experimental group B was less than that in the experimental group A and the control group,the neonatal Apgar score was higher than that in the experimental group A and the control group,and the amount of postpartum hemorrhage in the experimental group A was less than that in the control group,the neonatal Apgar score was higher than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in vaginal midwifery rate and cesarean section rate among the three groups;the natural delivery rate in the experimental group B was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of neonatal asphyxia among the three groups;there was significant difference in the incidence of intrauterine distress among the three groups(P<0.05);the incidence of intrauterine distress in the experimental group B was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Hand turning fetal head comb

关 键 词：手转胎头 夸张膀胱截石位 头位难产 自然分娩率 

分 类 号：R714[医药卫生—妇产科学]