摘要
目的:探讨对骨盆倾斜度异常孕妇合适的处理方法。方法:将274例骨盆倾斜度异常孕妇随即分成两组,对照组137例顺其自然分娩不进行任何处理,处理组在产前用高弹性腹带将孕妇腹部包裹,力度适中,分娩时将骶骨下2/3处垫高,将大腿压向腹部,保证胎轴压力线与骨盆轴相重叠或基本一致。结果:处理组孕妇绝大多数均能顺利衔接,仅2例不衔接。对照组孕妇先露顺利衔接的78例,59例均不能顺利衔接。处理组剖宫产率明显下降,第二产程明显缩短,会阴裂伤明显少于对照组。新生儿情况,两组体重无差异,新生儿窒息、新生儿头颅皮下血肿处理组均较对照组减少。结论:在产前用高弹性腹带将孕妇腹部包裹,分娩时采取将骶骨下2/3处垫高,将大腿压向腹部,保证胎轴压力线与骨盆轴相重叠或基本一致等处理方法,有利于胎头衔接及分娩,降低剖宫产率,减少阴道分娩时母婴损伤。
Objective：To study the suitable methods that were applied on gravida whose pelvic gradient abnormality. Methods：274 pelvic gradient abnormality gravida were divided into two groups at random,The control group take their nature course without any treatment;the study group gravida were modestly belt with strongly elastic abdominal belt on their belly at the third trimester of pregnancy or after hospital admission, moreover the study group gravida haunch were raised at the inferior 2/3 sacrum,at the same time,their thighs were pushed to their bellies and make their fetus pressure ax overlap or keep basic congruence with their pelvic axis. Results： 135 gravida of study group accomplished engagement of fetal head but only 78 gravida of the control group accomplished engagement of fetal head ;the rate of cesarean section,neonatal asphyxia,perineallaceration,neonatal scalp hematoma were all lower and the second stge of labor was shorten of study group than of control group; there were no significant differences in neonatal connate condition and body weight between two groups. Conclusions ：Gravida are modestly belt with strongly elastic abdominal belt on their belly at the third trimester of pregnancy or after hospital admission,moreover gravida haunch are raised at the infe rior 2/3 sacrum,at the same time,their thighs are pushed to their bellies and make their fetus pressure ax overlap or keep basic congruence with their pelvic axis which make engagement of fetal head easily ,reduce the rate of cesarean section and mother and infant injury ,and is worth popularizing.
出处
《中国误诊学杂志》
CAS
2008年第26期6307-6308,共2页
Chinese Journal of Misdiagnostics
