摘要
目的研究手转胎头术治疗头位难产的效果。方法100例头位难产产妇,采用随机数字表法分为胎头吸引组和手转胎头术组,每组50例。胎头吸引组产妇采取胎头吸引术,手转胎头术组产妇采取手转胎头术。比较两组产妇分娩方式、第二产程时间及新生儿不良结局发生情况。结果手转胎头术组产妇第二产程时间为(24.44±5.72)min,短于胎头吸引组的(37.63±7.83)min,差异具有统计学意义(P<0.05)。手转胎头术组产妇剖宫产率14.00%低于胎头吸引组的40.00%,自然分娩率52.00%高于胎头吸引组的24.00%,差异具有统计学意义(P<0.05);两组产妇阴道助产率对比差异无统计学意义(P>0.05)。手转胎头术组新生儿窒息、宫内窘迫发生率分别为6.00%、10.00%,均低于胎头吸引组的20.00%、28.00%,差异具有统计学意义(P<0.05)。结论采取手转胎头术对头位难产产妇施行助产,有助于缩短第二产程时间、降低剖宫产率及新生儿不良结局发生率。
Objective To study the effect of manual rotation of the fetal head in the treatment of cephalic presentation dystocia.Methods A total of 100 cases of head position dystocia were divided into fetal head suction group and manual rotation group by random numerical table,with 50 cases in each group.Parturients in the fetal head suction group adopted the fetal head suction,and the parturients in the manual rotation group adopted the manual rotation of the fetal head.The delivery methods,the time of the second stage of labor and the occurrence of adverse neonatal outcomes were compared between the two groups.Results The time of the second stage of labor of in the manual rotation group was(24.44±5.72)min,which was shorter than(37.63±7.83)min in the fetal head suction group,and the difference was statistically significant(P<0.05).The cesarean section rate 14.00%of the manual rotation group was lower than 40.00%of the fetal head suction group,and the natural delivery rate 52.00%was higher than 24.00%of the fetal head suction group.All the differences were statistically significant(P<0.05).There was no significant difference in the vaginal midwifery rate between the two groups(P>0.05).The incidences of neonatal asphyxia and intrauterine distress in the manual roation group were 6.00%and 10.00%,respectively,which were lower than 20.00%and 28.00%in the fetal head suction group,and the difference was statistically significant(P<0.05).Conclusion Manual rotation of fetal head in midwifery for women with head-position dystocia can help to shorten the time of the second stage of labor and reduce the incidence of cesarean section and adverse neonatal outcomes.
作者
金淑琴
JIN Shu-qin(Dashiqiao Central Hospital,Yingkou 115100,China)
出处
《中国实用医药》
2021年第35期71-73,共3页
China Practical Medicine
关键词
手转胎头术
头位难产
效果
Manual rotation of the fetal head
Head-position dystocia
Effect
