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目的 :探讨产程中实施特殊体位护理矫正胎方位的临床效果。方法 :选择 37～ 42周 ,先兆临产经B超检查证实为枕后位的初产妇 6 2例为观察组。在产程中指导观察组产妇取高坡侧俯卧位、手 -膝位 ,并与以往未做体位护理组对照。结果 :观察组有 5 5例经阴道分娩 ,占 88.7% ,对照组仅 14例经阴道分娩 ,占 2 2 .6 % ;观察组剖宫产 7例 ,占 11.3% ,对照组 48例 ,占 77.4% ;两组比较 ,差异有非常显著性意义 (P <0 .0 0 1)。而且对照组比观察组产程各期明显延长 ,胎先露下降速度明显减慢 ,胎儿宫内缺氧、新生儿窒息率明显增加 ,两组差异有非常显著性意义 (P <0 .0 1)。结论 :产程中实施特殊体位护理可以矫正胎头枕后位 ,降低难产发生率。
Objective: To investigate the clinical effect of special positioning care and correction of fetal position during labor. Methods: Choose 37 to 42 weeks, threatened labor by B-ultrasound confirmed suboccipital position of 62 cases of primipara. Obstetrics and gynecology in the observation group to take the high side of the prone position prone, hand - knee, and with no history of body care group control. Results: In the observation group, 55 cases were vaginal delivery, accounting for 88.7%. In the control group, only 14 cases were vaginal delivery, accounting for 22.6%. In the observation group, 7 cases (11.3%) had cesarean section and 48 cases (48 cases) 77.4%. There was a significant difference between the two groups (P <0.01). And the control group than the observation group significantly prolonged stage of labor, significantly decreased the rate of decline of fetal exposure, fetal intrauterine hypoxia, neonatal asphyxia increased significantly, the difference between the two groups have a very significant (P <0.01) . Conclusion: The implementation of special posture nursing during labor can correct posterior position of fetal head and reduce the incidence of dystocia.