摘要
目的探讨侧卧位分娩姿势在持续性枕横位和枕后位初产妇中的应用效果。方法选取本院2013年5月~2015年10月的100例持续性枕横位和枕后位的单胎足月初产妇作为研究对象,随机分为观察组和对照组,各50例。观察组在第二产程采取侧卧位进行分娩,对照组采取常规仰卧截石位。比较两组的第二产程时间、分娩方式、会阴侧切率、会阴裂伤率,胎方位的矫正情况、新生儿窒息率以及产妇对分娩效果的满意度。结果观察组的第二产程时间为（46.52±11.56）h,显著短于对照组的（62.33±14.56）h,差异有统计学意义（P〈0.01）。观察组从持续性枕横位和枕后位转至正常胎位所占的比例为86.00%,显著高于对照组的64.00%,差异有统计学意义（P〈0.05）。观察组的阴道分娩率为88.00%,显著高于对照组的62.00%,差异有统计学意义（P〈0.01）。观察组的会阴侧切率显著低于对照组,差异有统计学意义（P〈0.01）。两组的新生儿窒息率及会阴裂伤率比较,差异无统计学意义（P〉0.05）。观察组产妇对分娩效果的总满意度为98.00%,显著高于对照组的78.00%,差异有统计学意义（P〈0.01）。结论侧卧位能有效纠正持续性枕横位和枕后位初产妇的胎方位,缩短第二产程时间,提高阴道分娩率,降低会阴侧切率,提高产妇对分娩方式的满意度,临床效果显著。
Objective To explore the application effect of lateral decubitus position delivery in primipara with persistent occipitotransverse and occipitoposterior.Methods 100 single-fetus full-term primiparas with persistent occipitotransverse and occipitoposterior in our hospital from May 2013 to October 2015 were selected and randomly divided into the observation group and the control group,50 cases in each group.The observation group was managed by lateral decubitus position delivery in the second stage of labor,the control group was managed by conventional supine lithotomy position.The time of the second stage of labor,mode of delivery,the rate of lateral episiotomy,the rate of perineal laceration,correction of fetal position,the rate of neonatal asphyxia and satisfaction of patients towards delivery outcome was compared respectively.Results The time of the second stage of labor in the observation group was（46.52±11.56） hours,which was shorter than（62.33±14.56） hours in the control group,with significant difference（P〈0.01）.The proportion of correction from persistent occipitotransverse and occipitoposterior to normal fetal position in the observation group was86.00%,which was higher than 64.00% in the control group,with significant difference（P〈0.05）.The rate of vaginal delivery in the observation group was 88.00%,which was higher than 62.00% in the control group,with significant difference（P〈0.01）.The rate of lateral episiotomy in the observation group was lower than that in the control group,with significant difference（P〈0.01）.There was no significant difference in the rate of neonatal asphyxia and the rate of perineal laceration between the two groups（P〉0.05）.The overall satisfaction degree of patients towards delivery outcome was98.00% in the observation group,which was higher than 78.00% in the control group,with significant difference（P〈0.01）.Conclusion Lateral decubitus position can effectively correct the fetal position in primiparas with persistent occipitotransverse and occipitoposterior,shorten the second stage of labor,improve the rate of vaginal delivery and reduce the rate of lateral episiotomy,improve the satisfaction of patients towards delivery mode with significant clinical effect.
出处
《中国当代医药》
2016年第17期168-170,共3页
China Modern Medicine
关键词
侧卧位
持续性枕横位和枕后位
初产妇
Lateral position
Persistent occipitotransverse and occipitoposterior
Primipara
