徒手旋转胎头术在头位难产中的应用效果研究
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摘要
目的探究徒手旋转胎头术在头位难产中的应用效果。方法选取收治区间为2015年12月—2016年12月的248例单胎头位难产产妇作为该次临床研究资料,并将其平均分成两组,每小组有124例产妇,对对照组产妇采用常规产程自然旋转分娩方法,对观察组产妇采用徒手旋转胎头方法纠正头位难产,分析两组新生儿窒息情况、产妇分娩方式,从而判断出徒手旋转胎头术在头位难产中的应用效果,该次临床研究中观察指标:产妇最终的分娩方式、新生儿并发症发生情况、产妇产程、产后出血情况以及产后发病情况。结果通过该次临床研究发现,观察组最终有49例产妇采用自然分娩方式,显著高于对照组,且观察组胎儿宫内窘境例数12例、新生儿窒息例数5例,显著低于对照组,观察组产妇产程时间仅为(10.3±2.3)h,远远短于对照组产妇(15.6±3.1)h的产程,产后安全系数更高。结论在头位难产中,使用徒手旋转胎头术能够促进产妇自然分娩,减小新生儿在出生后发生窒息的可能,提高产妇与新生儿存活率,因此在日后头位难产临床中,建议推广使用徒手旋转胎头术。
Objective To study the application effect of unarmed Rotation of fetal head in the cephalic presentation dystocia. Methods 248 cases of delivery women with cephalic presentation dystocia admitted and treated in our hospital from December 2015 to December 2016 were selected and divided into two groups with 124 cases in each, the control group adopted the routine labor course, while the observation group adopted the unarmed rotation of fetal head, and the asphyxia of newborns, birth method of delivery women were analyzed thus determining the application effect of unarmed rotation of fetal head in the cephalic presentation dystocia, and the observation indexes in this clinical research included the final delivery method, occurrence of complications of newborns, labor course of delivery women, postpartum hemorrhage and postpartum onset. Results The clinical research showed that 49 cases of delivery women in the observation group adopted the natural delivery method, which was obviously higher than those in the control group, and in the observation group, there were 13 cases with fetal intrauterine distress and 5 cases with asphyxia, which were obviously lower than those in the control group, and the labor course time was much shorter than that in the control group,[(10.3 ±2.3)h vs(15.6 ±3.1)h], and the postpartum safety coefficient was higher. Conclusion The application of unarmed rotation of fetal head in the cephalic presentation dystocia can promote the natural birth of delivery women, reduce the occurrence probability of neonatal asphyxia after birth and improve the survival rate of delivery women and newborns, therefore, the unarmed rotation of fetal head is suggested to use in the further cephalic presentation dystocia.
Objective To study the application effect of unarmed Rotation of fetal head in the cephalic presentation dystocia. Methods 248 cases of delivery women with cephalic presentation dystocia admitted and treated in our hospital from December 2015 to December 2016 were selected and divided into two groups with 124 cases in each, the control group adopted the routine labor course, while the observation group adopted the unarmed rotation of fetal head, and the asphyxia of newborns, birth method of delivery women were analyzed thus determining the application effect of unarmed rotation of fetal head in the cephalic presentation dystocia, and the observation indexes in this clinical research included the final delivery method, occurrence of complications of newborns, labor course of delivery women, postpartum hemorrhage and postpartum onset. Results The clinical research showed that 49 cases of delivery women in the observation group adopted the natural delivery method, which was obviously higher than those in the control group, and in the observation group, there were 13 cases with fetal intrauterine distress and 5 cases with asphyxia, which were obviously lower than those in the control group, and the labor course time was much shorter than that in the control group,[(10.3 ±2.3)h vs(15.6 ±3.1)h], and the postpartum safety coefficient was higher. Conclusion The application of unarmed rotation of fetal head in the cephalic presentation dystocia can promote the natural birth of delivery women, reduce the occurrence probability of neonatal asphyxia after birth and improve the survival rate of delivery women and newborns, therefore, the unarmed rotation of fetal head is suggested to use in the further cephalic presentation dystocia.
引文
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[9]葛俊丽,陈必良,刘玉,等.气囊加力助产处理头位难产的回顾性病例对照研究[J].山西医科大学学报,2015(6):590-592.
[10]刘艳.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].中国卫生标准管理,2015(13):77-78.
[11]刘海燕.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].中国卫生标准管理,2015(10):79-80.
[12]班爱会.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].临床合理用药杂志,2014(12):94-95.
[2]李聪颖.20例头位难产产妇的临床诊断及治疗分析[J].世界最新医学信息文摘,2016(55):112-117.
[3]王锋,李彩霞,于晓霞,等.新法徒手旋转胎头在头位难产中的应用[J].航空航天医学杂志,2012(6):113-115.
[4]罗彩红,李虹,姑再努尔·阿不来提,章素娟.手法处理头位难产在少数民族偏远地区的意义[J].浙江临床医学,2012(6):107-110.
[5]张爽.徒手旋转在头位难产产妇助产护理中的临床应用效果[J].中国医药指南,2016(12):231.
[6]王杰.新法徒手旋转胎头在头位难产孕妇治疗中的应用价值[J].中国药物经济学,2016(3):126-127.
[7]黄金敬.头位难产产妇助产护理中徒手旋转的应用效果分析[J].中国医药指南,2015(33):242-243.
[8]王芳芳.徒手旋转在头位难产产妇助产护理中的应用效果观察[J].中国医药指南,2015(33):247-248.
[9]葛俊丽,陈必良,刘玉,等.气囊加力助产处理头位难产的回顾性病例对照研究[J].山西医科大学学报,2015(6):590-592.
[10]刘艳.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].中国卫生标准管理,2015(13):77-78.
[11]刘海燕.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].中国卫生标准管理,2015(10):79-80.
[12]班爱会.徒手旋转胎头辅以对侧卧位处理头位难产的临床效果观察[J].临床合理用药杂志,2014(12):94-95.