胎头旋转法治疗枕后位难产的临床效果分析
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摘要
目的探讨临床应用胎头旋转法治疗枕后位难产的治疗效果。方法方便选取该院2016年8月—2017年8月收治的200名枕后位难产产妇,经患者及家属同意,按数字分组法平均分为对照组和观察组,每组100例。对照组患者给予传统方法治疗,观察组给予胎头旋转法治疗。对比两组患者的临床治疗效果及产后出血率、受伤率。结果观察组患者顺产率为85%,明显高于对照组65%的顺产率,两组患者统计数据比较,差异有统计学意义(P<0.05)。对比两组患者的出血率及受伤率,观察组分别为5%及2%,对照组为15%及10%,两组患者统计数据比较,差异有统计学意义(P<0.05)。结论临床应用胎头旋转法治疗枕后位难产效果明显,产妇及新生儿的生命安全得到了保障,同时还能够提高分娩安全性,减少出血量,降低剖宫产发生率,值得推广及应用。
Objective To study the effect of head rotation method in treatment of posterior occipital dystoci. Methods 200 cases of delivery women with posterior occipital dystoci admitted and treated in our hospital from August 2016 to August2017 were convenient selected with the consent of patients and their family, and randomly divided into two groups with 100 cases in each, the control group used the traditional method, while the observation group were treated with head rotation method, and the clinical treatment effect, postpartum hemorrhage rate and injury rate were compared between the two groups. Results The natural labor rate in the observation group was obviously higher than that in the control group,(85% vs65%), and the difference was obvious, with statistical significance(P<0.05), and the hemorrhage rate and injury rate in the observation group and in the control group were respectively 5%, 2% and 15%, 10%, and the differences between groups were obvious, with statistical significance(P<0.05). Conclusion The clinical application effect of head rotation method in treatment of posterior occipital dystoci is obvious, which can ensure the life security of delivery women and newborns, and it can also improve the delivery safety, reduce the bleeding amount, and reduce the incidence rate of cesarean section, and it is worth promotion and application.
Objective To study the effect of head rotation method in treatment of posterior occipital dystoci. Methods 200 cases of delivery women with posterior occipital dystoci admitted and treated in our hospital from August 2016 to August2017 were convenient selected with the consent of patients and their family, and randomly divided into two groups with 100 cases in each, the control group used the traditional method, while the observation group were treated with head rotation method, and the clinical treatment effect, postpartum hemorrhage rate and injury rate were compared between the two groups. Results The natural labor rate in the observation group was obviously higher than that in the control group,(85% vs65%), and the difference was obvious, with statistical significance(P<0.05), and the hemorrhage rate and injury rate in the observation group and in the control group were respectively 5%, 2% and 15%, 10%, and the differences between groups were obvious, with statistical significance(P<0.05). Conclusion The clinical application effect of head rotation method in treatment of posterior occipital dystoci is obvious, which can ensure the life security of delivery women and newborns, and it can also improve the delivery safety, reduce the bleeding amount, and reduce the incidence rate of cesarean section, and it is worth promotion and application.
引文
[1]童美和,于海微.产程中枕横位和枕后位的胎头机转临床研究[J].中国医师杂志,2015,17(11):1682-1685.
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[8]魏琴.胎头旋转法治疗枕后位难产24例临床分析[J].基层医学论坛,2017,21(16):2040-2042.
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[10]王新荣.应用胎头旋转法处理枕后位难产效果评价[J].世界最新医学信息文摘:连续型电子期刊,2015,15(44):44.
[11]李茂容.胎头旋转法治疗枕后位难产34例分析[J].医学信息,2014(13):379.
[12]梁秀琴.探究胎头旋转法治疗枕后位难产的临床效果[J].世界最新医学信息文摘:连续型电子期刊,2016,16(45):71.
[2]程丽.手法旋转术在减少头位难产及降低剖宫产率中的临床观察[J].医药前沿,2016,6(31):93-94.
[3]黄永群.浅论胎头旋转法在处理枕后位难产中的应用效果[J].当代医药论丛,2016,14(17):80-81.
[4]魏丽娜.探究徒手旋转胎头术对枕横位和枕后位难产的治疗效果[J].中国继续医学教育,2016,8(19):112-114.
[5]吴祥华,陆丽嫦,刘偲,等.胎位异常手转胎头术的技术关键及对妊娠结局影响研究[J].哈尔滨医药,2016,36(3):231-232.
[6]郭烨.胎头旋转法治疗枕后位难产的临床效果研究[J].中外女性健康研究,2016,16(10):48.
[7]赵秀兰.手抱膝改变体位徒手旋转胎头术矫正枕横位、枕后位的临床效果观察[J].黑龙江医药科学,2015,38(2):144-145.
[8]魏琴.胎头旋转法治疗枕后位难产24例临床分析[J].基层医学论坛,2017,21(16):2040-2042.
[9]韩旭昆.胎头旋转法治疗枕后位难产48例临床分析[J].中国社区医师,2017,33(13):13-14.
[10]王新荣.应用胎头旋转法处理枕后位难产效果评价[J].世界最新医学信息文摘:连续型电子期刊,2015,15(44):44.
[11]李茂容.胎头旋转法治疗枕后位难产34例分析[J].医学信息,2014(13):379.
[12]梁秀琴.探究胎头旋转法治疗枕后位难产的临床效果[J].世界最新医学信息文摘:连续型电子期刊,2016,16(45):71.