分娩期体位护理干预对矫正胎方位异常的临床分析.docVIP

分娩期体位护理干预对矫正胎方位异常的临床分析 发表时间：2014-8-11 ? 来源：《医药前沿》2014年第15期供稿 ? 作者：姚伟英 [导读] 胎头位置异常是导致头位难产的主要原因，以枕横位、枕后位最为常见，手术产率极高，处理不当易对母婴造成较大伤害[1]。 姚伟英　　(东莞市桥头医院妇产科? 广东东莞? 523523)　　【摘要】目的：探讨分娩期体位护理干预对矫正胎方位异常的临床效果。方法：选择观察组60例产妇给予分娩期体位护理干预，对照组60例指导常规舒适的体位自然分娩。结果：观察组顺产率明显高于对照组(81.7% vs.53.3%)，剖宫产率明显低于对照组(13.3% vs.38.3%)(P＜0.01)。观察组阴道分娩产妇第一产程、第二产程及总产程时间均较对照组明显缩短(P＜0.05或0.01)。观察组新生儿窒息发生率显著低于对照组(1.7% vs.10.0%，P＜0.01)。结论：实施分娩期体位护理有利于提高分娩质量，值得推广应用。　　【关键词】分娩期? 体位护理? 胎方位异常　　【中图分类号】R473.71??????????????????????????????? 【文献标识码】A???????????????????????? 【文章编号】2095-1752（2014）15-0059-02　　Clinical analysis on body posture attendance of lying-in women with abnormal fetal position during delivery　　Yao Wei-ying　　Department of obstetrics and gynecology, Qiaotou hospital of Dongguan, Guangdong Dongguan, 523523,China　　【Abstract】Objective: To investigate the clinical effect of body posture attendance during delivery for abnormal fetal position.Methods: 60 cases in observation group were given nursing intervention during delivery，and 60 cases in control group were guided for general comfortable natural childbirth.Results: The the rate of natural childbirth in observation group were higher than control group(81.7% vs.53.3%,P0.01),the rate of cesarean section was significantly lower than the control group(13.3% vs.38.3%,P0.01).Compared with control group,the experimental group had shorter first stage,expulsive stage, placental stage as well as total stage of labor(P0.05 or 0.01).And the incidence of neonatal asphyxia in observation group were significantly lower than those of control group(1.7% vs.10.0%，P0.01).Conclusion: Body posture attendance during delivery can raised delivery quality,it’s worthy popularization.　　【Keywords】Delivery? Body posture attendance? Abnormal fetal position　　胎头位置异常是导致头位难产的主要原因，以枕横位、枕后位最为常见，手术产率极高，处理不当易对母婴造成较大伤害[1]。因此，加强分娩期体位护理干预，对于提高分娩质量有非常重要的意义。本研究选择60例枕横位、枕后位初产妇并施以分娩期体位护理，取得良好效果。现报道如下：　　1? 对象与方法　　1.1研究对象? 选择2013年1～8月我院产科待产分娩的孕妇120例，全部研究对象均符合以下要求[2-3]：①初产，年龄20～3