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    产程活动车联合特殊体位在第一产程活跃期矫正枕横位临床效果观察

    Clinical effect of the mobile delivery vehicle combined with special position in correcting the transverseposition during the active period of the first stage of labor

      摘要
    • 摘要:
      目的探讨在第一产程活跃期使用产程活动车联合特殊体位矫正枕横位的临床效果。
      方法将入院时B超确诊为枕横位且符合试产条件无胎膜早破的初产妇130例，随机分为试验组和对照组。试验组在活跃期胎膜未破时予产程活动车自由行走，宫缩较强时卧床休息予胎背对侧卧位。对照组仅给予常规护理，产妇自由选择卧位。分析2组产妇的胎头转正率、分娩方式、第一产程时间、新生儿Apgar评分以及产妇分娩后的并发症发生情况。
      结果在产程中，试验组由枕横位胎头转到枕前位的有60例，对照组由枕横位胎头转枕前位有41例，试验组胎头转正率高于对照组（P < 0.01）。试验组自然分娩率高于对照组，剖宫产率低于对照组（P < 0.01）；试验组自然分娩第一产程的潜伏期和活跃期的时间均短于对照组（P < 0.01），非自然分娩新生儿Apgar评分高于对照组（P < 0.01），产妇产后出血量、软产道损伤率、产褥感染率均低于对照组（P < 0.01）。
      结论在第一产程活跃期对枕横位的孕妇实行产程活动车联合特殊体位，可以增加产妇胎头转正率、自然分娩率以及新生儿的Apgar评分，明显缩短第一产程的时间并降低产妇分娩后的并发症发生率。

       

      Abstract:
      ObjectiveTo investigate the clinical effects of the mobile delivery vehicle combined with special position in correcting the transverseposition during the active period of the first stage of labor.
      MethodsOne hundred and thirty patients with transverseposition diagnosed by B ultrasound and without premature rupture of membrane under trial condition were randomly divided into the experimental group and control group.The experimental group without rupture of membrane during active period could free walk on mobile delivery vehicle, and when the contraction was strong, the patients stayed in bed under the lateral position of the fetal back.The control group was given the routine care, and the patients were free to choose the lying position.The fetal head positive rate, delivery mode, first stage of labor, neonatal Apgar score and complications of maternal delivery were analyzed in two groups.
      ResultsDuring the labor process, 60 cases in experimental group were transferred from the transverse occipital fetal head to the anterior occipital position, and 41 cases in control group were transferred from the transverse occipital fetal head to the anterior occipital position, and the positive rate of which in experimental group was higher than that in control group(P < 0.01).The rate of natural delivery in experimental group was higher than that in control group, and the rate of cesarean section in experimental group was lower than that in control group(P < 0.01).The incubation period and active period of the first stage of natural delivery in experimental group were shorter than those in control group, the neonatal Apgar score in experimental group was higher than that in control group, and the postpartum blood loss, soft birth canal injury rate and puerperal infection rate in experimental group were lower than those in control group(P < 0.01).
      ConclusionsDuring the active period of the first stage of labor, the mobile delivery vehicle combined with special position can improve the maternal fetal head rate, natural delivery rate and Apgar score of the newborn, significantly shorten the time of the first stage of labor, and reduce the incidence rate of postpartum complications.

       

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