特殊体位护理在矫正产妇活跃期持续性枕横枕后位中的应用效果观察

Observation on the application effect of special postural care in the correction of persistent occiput transverse position and occiput posterior position in the active phase

目的:探讨特殊体位护理在矫正产妇活跃期持续性枕横、枕后位中的应用效果。方法:将140例待分娩的活跃期持续性枕横、枕后位产妇按随机数字表法分为实验组和对照组各70例,对照组产妇采取常规方式待产,实施常规护理;实验组产妇在常规护理基础上实施特殊体位护理,引导产妇取与胎背对侧的膝胸卧位,枕左横及枕左后位产妇向右侧膝胸卧位,枕右横及枕右后位产妇向左侧膝胸卧位。比较两组产妇胎位矫正情况、分娩情况及阴道分娩产程时间。结果:实验组产妇胎位矫正率、顺产率明显高于对照组(P<0.01),产妇剖宫产率明显低于对照组(P<0.01);实验组产妇第一产程、第二产程及总产程时间均明显短于对照组(P<0.05,P<0.01)。结论:采取特殊体位护理能够有效矫正孕妇枕横、枕后位,降低剖宫产率,缩短阴道分娩产程时间,提高产妇分娩质量,具有较高的临床应用和推广价值。

Objective ： To explore the application effect of special postural care in the correction of persistent occiput transverse position and occiput posterior position in the active phase. Methods ：140 parturient with persistent occiput transverse and occiput posterior position in the active phase were randomly divided into the experimental group and the control group （70 parturient in each group ）. The routine nursing care was taken in the control group and the special postural care was additionally provided for the parturient in the experimental group. The fetal position correction, delivery and the time of birth process of vaginal delivery were compared between the two groups. Results：The fetal position correction rate and vaginal delivery rate were significantly higher in the experimental group than the control group （ P 〈 0. 01 ） ; the cesarean section rate was significantly lower in the experimental group than the control group （ P 〈 0.01 ） ; the time of the first and second stage of labor and the time of total stage of labor was significantly shorter in the experimental group than the control group （ P 〈 0.05, P 〈 0. 01 ）. Conclusion：The special postural care can effectively correct the occiput transverse and oceiput posterior position, reduce the cesarean section rate, shorten the time of birth process of vaginal delivery and improve the quality of delivery.