持续性枕横位和枕后位病例的产程特点及影响

Characteristics of persistent occiput transverse position and persistent occiput posterior position

目的探讨持续性枕横位和枕后位的产程特点及对母儿结局的影响。方法回顾性分析64例持续性枕横位和51例持续性枕后位病例的各阶段产程时间、异常产程及产道损伤、产后出血、羊水粪染(Ⅱ°以上)、新生儿Apgar评分(5min评分≤7分)等情况,并与同期100例枕前位病例进行对比分析。结果持续性枕横位和枕后位的异常产程发生率、产道损伤、产后出血率均较对照组明显增加(P<0.05);羊水粪染及新生儿窒息发生率均较对照组明显增加,两组比较差异均有统计学意义(P<0.05)。结论重视对持续性枕横位和枕后位的早期诊断和及时处理对减少母儿并发症有重要意义。

Objective To explore the labor characteristics and outcomes of persistent occiput transverse position and persistent occiput posterior position. Methods Data of 64 patients with persistent occiput transverse position and 51 patients with persistent occiput posterior position were analyzed retrospectively, including labor pattern, birth canal injury, postpartum hemorrhage, amniotic fluid and neonatal Apgar score （ 5 minutes score）, and 100 cases of occipital anterior position in control group were investigated correspondently. Results Higher rates of abnormal labor, birth canal injury, postpartum hemorrhage and abnormal newborn turnover were occurred in observation group compared with control group. Significant differences were found between the two groups. Conclusions Early diagnosis should be mede and correct therapy should be given to patients with persistent occiput transverse position and persistent occiput posterior position in order to reduce the complications of mother and child.