胎膜早破产妇手膝卧位排尿体位的临床研究

Clinical Research of Premature Rupture of the Membranes of Maternal Hand Knee Position Voiding Position

目的探讨胎膜早破产妇待产期间手膝卧位排尿较传统的仰卧位排尿是否可以更好地防止脐带脱垂,减少羊水流出的同时,解决胎膜早破产妇排尿困难,降低尿潴留发生率,促进产程进展。方法收集我院2011年胎膜早破产妇282例,按入院时间先后分为观察组和对照组,观察组在产妇有尿意或触及涨大膀胱时,采取床上手膝卧位排尿;对照组采取平卧位排尿。比较两组产妇尿潴留发生率、剖宫产率、脐带脱垂率、新生儿窒息率等指标。结果观察组尿潴留发生率、剖宫产率、新生儿窒息率均低于对照组,差异有统计学意义(P<0.01)。结论手膝卧位排尿可解除胎膜早破产妇排尿困难,降低尿潴留发生率、剖宫产率及新生儿窒息率,同时并未增加脐带脱垂和产褥感染的发生率,是安全可行的排尿体位。

Objective To explore the position of premature rupture of membranes maternal to be produced during urination in order to prevent the prolapse of the umbilical cord,reducing the amniotic fluid outflow at the same time solve the premature rupture of membranes maternal dysuria,lower urinary retention incidence to promote the progress of labor.Methods Collection of premature rupture of membranes maternal（excluding breech presentation,fetal head high float and pregnancy complications）,the admission time has divided into experimental and control groups,the experimental group in the maternal urinate or touch up a large bladder,and take a bed handsupine knee urinating in the control group still take supine urination,were compared to maternal urinary retention and other indicators of the incidence of cesarean section rate,the rate of umbilical cord prolapse,neonatal asphyxia.Results Urinary retention of the experimental group,the incidence of cesarean section rate and neonatal asphyxia was significantly lower than the control group,statistically significant（P0.01）.Conclusion Hands and knees decubitus urination dysuria premature bankruptcy women can be lifted,reducing the incidence of urinary retention,the rate of cesarean section rate and asphyxia,and umbilical cord prolapse and did not increase the incidence of puerperal infection,is safe and feasible urination position.