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徒手旋转胎头术对枕横位和枕后位难产的治疗效果观察 被引量:8

Therapeutic effect observation of Unarmed rotating fetal head in the treatment of dystocia with occipitotransverse position and occipitoposterior position
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摘要 目的:研究徒手旋转胎头术对枕横位和枕后位难产的治疗效果。方法:2013年9月-2014年9月收治枕横位和枕后位难产产妇62例,随机分为两组,每组31例。观察组经徒手旋转胎头术,将胎头位置纠正,对照组给予一般处理,比较两组的产伤率、产后出血率、自然分娩率。结果:观察组产伤率与产后出血率均低于对照组,差异具有统计学意义(P<0.05)。观察组的自然分娩率高于对照组,差异具有统计学意义(P<0.05)。结论:徒手旋转胎头术可纠正枕横位和枕后位难产胎头位置,不会对新生儿造成影响,可提升自然分娩率,减少对产妇的损伤,值得临床推广应用。 Objective:To explore the therapeutic effect of unarmed rotating fetal head in the treatment of dystocia with occipitotransverse position and occipitoposterior position.Methods:62 cases of dystocia puerperal with occipitotransverse position and occipitoposterior position from September 2013 to September 2014 were randomly divided into two groups,with 31 cases in each group.The observation group corrected the fetal head position by unarmed rotating fetal head,the control group were given the general processing,the birth injury rate,the rate of postpartum hemorrhage,the natural births rate of the two groups were compared.Results:The birth injury rate,the rate of postpartum hemorrhage of the observation group were lower than that of the control group,and the differences were statistically significant(P<0.05).The natural births rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Unarmed rotating fetal head could correct the head position of dystocia with occipitotransverse position and occipitoposterior position and did not affect the newborn.It could enhance natural births and reduce the damage to the maternal,worthy of clinical popularization and application.
作者 张艳蕾
出处 《中国社区医师》 2015年第15期35-35,37,共2页 Chinese Community Doctors
关键词 徒手旋转胎头术 枕后位 枕横位 难产 Unarmed rotating fetal head Occipitoposterior position Occipitotransverse position Dystocia
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