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目的探讨当胎膜早破时采取不同体位对足月产妇羊水流出量及残余量的影响。方法 102例足月胎膜早破孕妇,按其住院先后顺序依次编号1~102号,将单号设为观察组,双号为对照组,观察组和对照组分别给予不同的体位。观察组采用特制的靠垫,将其置于孕妇腰臀下,嘱咐孕妇可平卧或侧卧且将腰臀部置于靠垫之上;对照组采取传统的头低臀高位。两组孕妇在分娩前均监测胎心、胎动、羊水量、定时给氧。结果观察组与对照组相比,平均羊水残余量明显多于对照组,差异具有统计学意义(P<0.05)。结论足月妊娠孕妇胎膜早破者采取平卧或侧卧同时将特制靠垫置于腰臀部可以有效减少羊水流失量,保持足够的残余羊水量。
Objective To investigate the effect of different positions on the amniotic fluid effusion and residual volume of preterm premature rupture of membranes. Methods A total of 102 pregnant women with term premature rupture of membranes were enrolled in this study. They were numbered 1 to 102 in order of their hospitalization. The single number was set as the observation group and the double number as the control group. The observation group and the control group were given different positions respectively. The observation group using a special cushion, placing it under the waist and hip of pregnant women, asked pregnant women can be lying or lying on the waist and buttocks on the cushion above; the control group to take the traditional high head low hip. Two groups of pregnant women were monitored before delivery fetal heart rate, fetal movement, amniotic fluid volume, timing oxygen. Results Compared with the control group, the average residual amniotic fluid in the observation group was significantly more than that in the control group, with statistical significance (P <0.05). Conclusions Full-term pregnant women with premature rupture of membranes to take supine or lateral lying at the same time will be placed on the waist and hip pad hip can effectively reduce the amount of amniotic fluid loss, to maintain adequate residual amniotic fluid volume.