徒手旋转在头位难产产妇助产护理中的应用研究(1)
[摘要] 目的 探讨徒手旋转在头位难产产妇助产护理中的临床应用效果。方法 对2013年4月—2014年4月该院收治的80例头位难产产妇资料进行分析，根据不同护理方法将产妇分为对照组和实验组，对照组采用自然分娩及助产护理，实验组实施徒手旋转抬头助产护理，比较两组护理效果。结果 实验组24例自然分娩，占60%；12例阴道助产，占30%，显著高于对照组(30%自然分娩，20%阴道助产)(P<0.05)；实验组剖宫产率为10%，显著低于对照组(剖宫产率为50%)(P<0.05)；实验组第二产程时间为(24±3)min，显著短于对照组(38±7)min(P<0.05)；实验组新生儿并发症发生率为7.5%，显著低于对照组(并发症发生率为17.5%)(P<0.05)。结论 头位难产产妇分娩过程中采用徒手旋转抬头位置助产护理效果理想，能够促进第二产程加快，降低剖宫产率，值得推广使用。
[关键词] 徒手旋转；头位难产；助产护理；应用效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)05(c)-0131-03
[Abstract] Objective To investigate the clinical effect of manual rotation applied to the midwifery care for head position dystocia. Methods An analysis was conducted on the clinical data of 80 puerperants with head position dystocia admitted in our hospital from April 2013 to April 2014. The puerperants were divided into the control group and the experimental group in accordance with different methods of care given to them. The control group adopted natural childbirth and midwifery care， and the experimental group adopted the midwifery care of manual rotation for fetal malposition. And the nursing efficacy was compared between the two groups. Results In the experimental group， there were 24 cases with natural childbirth， accounting for 60%， 12 cases with vaginal midwifery， accounting for 30%. In the control group， 30% of the puerperants had natural childbirth， 20% of the puerperants had vaginal midwifery. The experimental group was much better than the control group in the above two aspects(P<0.05). The cesarean section rate of the experimental group was much lower than that of the control group(10% vs 50%) (P<0.05). The second stage of labor of the experimental group was (24±3) min， significantly shorter than (38±7) min of the control group(P<0.05). The incidence of neonatal complications of the experimental group was obviously lower than that of the control group(7.5% vs 17.5%) (P<0.05). Conclusion For puerperants with head position dystocia， midwifery care of manual rotation for fetal malposition has ideal effect， which can speed up the second stage of labor and reduce the cesarean section rate， so it is worthy of application and promotion.
[Key words] Manual rotation； Head position dystocia； Midwifery care； Application effect
头位难产是临床上常见的产科疾病，这种疾病发病率较高，且近年来头位难产发生率出现上升趋势，它是指孕妇在分娩过程中头先露的难产，这对新生儿以及产妇均会带来不利的影响[1]。目前，临床上对无法进行枕前位分娩的头显露产妇称之为胎头位置异常，如：前不均倾位、颜面位等，这些疾病治疗相对比较复杂。近年来，徒手旋转在头位难产孕妇助产中广为使用，并取得阶段性进展，通过这种方法能够纠正胎头异常的位置，从而促进胎儿顺利分娩[2]。为了探讨徒手旋转在头位难产产妇助产护理中的临床应用效果。对2013年4月—2014年4月该院收治的80例头位难产产妇资料进行分析，报道如下。, 百拇医药(蔡群英)
[关键词] 徒手旋转；头位难产；助产护理；应用效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)05(c)-0131-03
[Abstract] Objective To investigate the clinical effect of manual rotation applied to the midwifery care for head position dystocia. Methods An analysis was conducted on the clinical data of 80 puerperants with head position dystocia admitted in our hospital from April 2013 to April 2014. The puerperants were divided into the control group and the experimental group in accordance with different methods of care given to them. The control group adopted natural childbirth and midwifery care， and the experimental group adopted the midwifery care of manual rotation for fetal malposition. And the nursing efficacy was compared between the two groups. Results In the experimental group， there were 24 cases with natural childbirth， accounting for 60%， 12 cases with vaginal midwifery， accounting for 30%. In the control group， 30% of the puerperants had natural childbirth， 20% of the puerperants had vaginal midwifery. The experimental group was much better than the control group in the above two aspects(P<0.05). The cesarean section rate of the experimental group was much lower than that of the control group(10% vs 50%) (P<0.05). The second stage of labor of the experimental group was (24±3) min， significantly shorter than (38±7) min of the control group(P<0.05). The incidence of neonatal complications of the experimental group was obviously lower than that of the control group(7.5% vs 17.5%) (P<0.05). Conclusion For puerperants with head position dystocia， midwifery care of manual rotation for fetal malposition has ideal effect， which can speed up the second stage of labor and reduce the cesarean section rate， so it is worthy of application and promotion.
[Key words] Manual rotation； Head position dystocia； Midwifery care； Application effect
头位难产是临床上常见的产科疾病，这种疾病发病率较高，且近年来头位难产发生率出现上升趋势，它是指孕妇在分娩过程中头先露的难产，这对新生儿以及产妇均会带来不利的影响[1]。目前，临床上对无法进行枕前位分娩的头显露产妇称之为胎头位置异常，如：前不均倾位、颜面位等，这些疾病治疗相对比较复杂。近年来，徒手旋转在头位难产孕妇助产中广为使用，并取得阶段性进展，通过这种方法能够纠正胎头异常的位置，从而促进胎儿顺利分娩[2]。为了探讨徒手旋转在头位难产产妇助产护理中的临床应用效果。对2013年4月—2014年4月该院收治的80例头位难产产妇资料进行分析，报道如下。, 百拇医药(蔡群英)