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目的探讨产程中采用对侧卧位纠正枕后位的临床效果及对分娩方式的影响。方法选择临产后至第二产程末,经B超或内诊检查证实胎方位为枕后位者364例,按随机表法分成观察组和对照组,每组182例,分别采用对侧卧位法纠正枕后位和随意卧位,观察两组产程进展和分娩方式。结果观察组阴道顺产率87.9%,经阴助产率1.7%,剖宫产率10.4%,对照组阴道顺产率50.5%,经阴助产率4.4%,剖宫产率45.1%,两组比较差异具有极显著性(P<0.01);观察组新生儿窒息率为2.7%,对照组为9.9%,两组比较差异具有显著性(P<0.05)。结论对侧卧位法纠正枕后位成功率高,可降低剖宫产率及新生儿室息率。
Objective To investigate the clinical effect of using the contralateral lying position to correct the posterior position of the pillow during labor and its influence on the mode of delivery. Methods From the end of labor to the end of the second stage of labor, 364 cases were confirmed by B ultrasound or internal examination. The patients were divided into observation group and control group according to random table method, with 182 cases in each group. Law to correct the posterior position and arbitrary lying position, observe the progress of labor and delivery mode. Results In the observation group, the vaginal delivery rate was 87.9%, the rate of vaginal delivery was 1.7%, the rate of cesarean section was 10.4%, that of the control group was 50.5%, the rate of perineal delivery was 4.4% and the rate of cesarean section was 45.1%. The difference was significant (P <0.01). The asphyxia rate was 2.7% in the observation group and 9.9% in the control group. There was significant difference between the two groups (P <0.05). Conclusion The lateral position method to correct posterior occipital posterior high success rate, can reduce the rate of cesarean section and neonatal room rate.