产程三维导航仪观察足月单胎阴道试产产程的临床意义.docVIP

产程三维导航仪观察足月单胎阴道试产产程的临床意义 　　【摘要】 目的：对比产程三维导航仪与传统产程监测手段在单胎足月阴道试产产程监护的优点。方法：回顾性分析本院2013年10月-2014年4月产科分娩的足月单胎120例的临床病例，分组采取不同的产程监测手段，探讨分析产程三维导航仪对比传统监测手段在产程监护的优点。结果：两组孕妇在年龄、孕周、新生儿出生体重、新生儿阿普加评分相比较，差异无统计学意义（P0.05），60例试验组中胎方位符合率、先露下降程度、肛查次数、产褥病率、检查舒适度与对照组相比，差异有统计学意义（P0.05）。结论：产程三维导航仪可提供客观数字化的产程监护，有利于临床医师判断产程进展，在判断胎方位、减少阴检及肛查及降低产褥感染等方面由于传统产程监护手段。 　　【关键词】 产程三维导航仪； 产程进展； 传统监测手段； 足月单胎 　　【Abstract】 Objective：To investigate the advantages of the three-dimensional navigator in monitoring the labor process of singleton term vaginal birth. Method：120 patients with singleton term births in our hospital from October 2013 to April 2014. 60 subjects were enrolled in the experimental group and the birth process was monitored with three-dimensional navigator. Another 60 subjects were enrolled in the control group and the birth process was monitored with the traditional methods.Result：There was no significant difference between the two groups in terms of mothers’ age ，gestational weeks，neonatal birth weight and Apgar score. However， there was significant difference between the groups in terms of the coincidence rate of fetal position，Presentation decrease，Anal examination frequency，vaginal examination frequency and puerperal infection.Conclusion：The three-dimensional navigator observation can monitor the birth process effectively. This method is much better than traditional observation methods on helping doctors determine the progress of labor， judge the fetal position， reduce the perineum and anus check and reduce puerperal infection . 　　【Key words】Three-dimensional navigator； Progress of labor； The traditional observation methods； Singleton term 　　First-author’s address： Huadu Hospital Affiliated to Southern Medical University，Guangzhou 510515，China 　　doi：10.3969/j.issn.1674-4985.2014.22.049 　　宫口扩张和先露下降是监测产程进展的两个重要指标，传统的产程监测主要通过人工指检的方法获得数据，配合监测宫缩及胎心来完成，数据具有一定的主观性，同时反复的肛门检查给孕妇带来不适感和增加产褥感染的几率，尤其对于胎膜早破和具有高危因素的人群[1]。产程三维导航仪是将磁场跟踪定位系统和超声系统有机结合，依据人体解剖学结构，客观、准确、动态显示产道与胎儿之间的关系，通过粘附在手指