摘要
目的 :探讨产程中改变产妇体位纠正骨盆倾斜度的临床效果。方法 :选择骨盆倾斜度≥70 0的产妇 2 4 0例 ,随机分为两组 ,每组 12 0例。研究组在第一产程中采取半卧式 ,第二产程取膀胱截石位 ,双脚在产床两边的脚架上 ,使双侧髋 ,膝关节屈曲 ,大腿尽可能贴近腹部 ,外展。并与对照组比较。结果 :研究组①会阴分娩成功本 85% ,对照组 55.8% ,差异显著 (P <0 .0 5)②产程时间 :研究组第一产程平均时间 34 2 .8min。第二产程平均时间 4 9.8min。对照组第一产程平均时 4 98.6min ,第二产程平均时间 112 .4min。两组对照 (P <0 .0 5)剖宫产率、新生儿窒息率等均明显下降。结论 :产程中采用改变产妇体位的方法纠正骨盆倾斜度 ,可有效地缩短产程降低头位难产发生率。
Objective :To study the effect on correction of indination of pelvis by changing maternal posture during the labor.Methods:240 pregnant women with the indination of pelvis >700 were divided into two groups randomly.Oneinstructed to take the half-sitting during the first staye of labor then changethe posture during the second staye.keeping the knees bended and leaning thelegs on the abdomen.another selected as controls.Results:In the study groupsuccess rate of vaginated deliveries is 85% higher than the contrast group 55.8%(p<0.05) the average time interval is 342.8 min for the first staye and 49.8min for the second staye.Shortened then the contrast group (p<0.05)the incidence ofcesarean section is lower then the contrast group.Concluslon:Correcting theindination of pelvis can shorten the stayes of labor.lower the incidence ofcesarean section and reduced the incidence of dystocia.
出处
《河北医学》
CAS
2001年第8期707-709,共3页
Hebei Medicine
