209例头位难产原因分析及处理探讨.docVIP

209例头位难产的原因分析及处理探讨 　　【摘要】 目的 探讨头位难产发生的原因及正确处理头位难产的方法。方法 回顾性分析2011年8月至2013年10月在我院住院分娩发生头位难产的209例孕产妇的临床资料。结果 ①导致头位难产的常见因素：导致头位难产的常见因素中，胎头位置异常138例（66.03%），居首位，其中又以枕后位和枕横位最为多见，分别占34.45%和26.32%，其他胎头位置异常包括颜面位、高直位及前不均倾位等共占5.26%。其后依次为产力异常即宫缩乏力42例（20.10%），产道异常29例（13.87%），包括软产道异常及骨产道异常，分别占4.31%和9.56%；②不同因素引起的头位难产所选择的分娩方式：发生头位难产的209例产妇中，行剖宫产术148例（70.81%），行阴道分娩术61例（29.19%）。结论 头位难产发生率较高，有很多因素会导致头位难产，其中最常见的因素为胎头位置异常，其次为产力异常和产道异常。处理不当会给母婴带来较大损伤，选择合理的处理方式是改善妊娠结局的关键。 　　【关键词】 头位难产；原因分析；处理方法 　　doi：10.3969/j.issn.1004-7484（x）.2014.05.036 文章编号：1004-7484（2014）-05-2437-02 　　The Analysis of the Causes of 209 cases of head Dystocia and Discussed in this Paper 　　【Abstract】Objective To investigate the head dystocia causes and the methods，to correctly handle head during childbirth.Methods A retrospective analysis between August 2011 and October 2011 in our hospital childbirth head dystocia of the clinical data o-f 209 cases of maternal.Result ① the head dystocia common factors：the common factors that led to head during childbirth，138 cases（66.03%），abnormal fetal head position in the lead，with pillow and the pillow and among them the most cross bit more see，34.45% and 26.32% respectively，and other abnormal fetal head position including face，high straight and pour a former inequality accounted for 5.26%.Followed by subsequent productivity abnormal namely contractions fatigue 42 cases（20.10%），abnormal birth canal 29 cases（13.87%），including soft birth canal abnormal and bone abnormality，4.31% and 9.56% respectively；② the head caused by different factors during childbirth the choice of mode of delivery：Head dystocia occurred in 209 cases of maternal，line 148 cases of cesarean section（70.81%）in the line of vaginal delivery technique in 61 cases（29.19%）.Conclusion The head with a greater incidence of dystocia，many factors can lead to head during childbirth，and one of the most common factors for abnormal fetal head position，followed by productivity anomalies and abnormal birth canal.Improper han