手法复位治疗头位难产有效性分析.docVIP

手法复位治疗头位难产有效性分析 　　[摘要] 目的 探讨手法复位在治疗头位难产过程中的临床效果，并分析其有效性。方法 方便选取2014年11月―2016年11月在该院妇产科进行诊治的64例头位难产患者为研究对象，采用抽签法将所有研究对象随机分为对照组与观察组各32例，予以对照组研究对象自然螺旋分娩，予以观察组研究对象手法复位分娩。比较两组研究对象的分娩情况和术后并发症发生率。结果 观察组研究对象的剖宫产发生率、胎儿窒息发生率和胎儿窘迫发生率分别为9.38%、3.13%和3.13%，对照组为31.25%、34.38%和21.88%（χ2=4.730、χ2=8.308、χ2=5.143，P0.05）；观察组产后并发症发生率为9.38%，对照组为46.88%，?^察组产后并发症发生率显著低于对照组，差异有统计学意义（χ2=9.353，P0.05）。结论 利用手法复位分娩方式对头位难产患者进行辅助分娩，能够显著改善新生儿结局，降低剖宫产和产后并发症的出现几率，对于新生儿死亡率的降低有着重要意义与作用，其临床应用价值较高。 　　[关键词] 手法复位；头位难产；临床效果；有效性 　　[中图分类号] R714 [文献标识码] A [文章编号] 1674-0742（2017）12（c）-0101-03 　　[Abstract] Objective This paper tries to explore the clinical effect of manual reduction in the treatment of dystocia during head position and to analyze its effectiveness. Methods 64 patients with dystocia who were diagnosed and treated in obstetrics and gynecology department from November 2014 to November 2016 were convenient selected as research subjects and randomly divided into control group and observation group according to lottery method， with 32 cases in each group. The subjects in the control group were given spontaneous helical labor， and the subjects in the observation group were given resection and delivery. The delivery status and the incidence of postoperative complications in the two groups were compared. Results The incidence of cesarean section， the incidence of fetal asphyxia and fetal distress were 9.38%， 3.13% and 3.13% in the observation group and 31.25%， 34.38% and 21.88% in the control group（χ2=4.730， χ2=8.308，χ2=5.143， P0.05）； The incidence of postpartum complications in the observation group was 9.38%， and 46.88% in the control group， the incidence of postpartum complications in the observation group was significantly lower than that in the control group（χ2=9.353， P0.05）. Conclusion The use of manual delivery mode for head dystocia patients assisted delivery can significantly improve neonatal outcomes， reduce the incidence of cesarean section and postpartum complications， for the reduction of