产程三维导航仪观察足月单胎阴道试产产程的临床意义

Clinical Study of Three-dimensional Navigator in Monitoring the Vaginal Labor and Birth Process of Singleton Term

目的:对比产程三维导航仪与传统产程监测手段在单胎足月阴道试产产程监护的优点。方法:回顾性分析本院2013年10月-2014年4月产科分娩的足月单胎120例的临床病例,分组采取不同的产程监测手段,探讨分析产程三维导航仪对比传统监测手段在产程监护的优点。结果:两组孕妇在年龄、孕周、新生儿出生体重、新生儿阿普加评分相比较,差异无统计学意义(P>0.05),60例试验组中胎方位符合率、先露下降程度、肛查次数、产褥病率、检查舒适度与对照组相比,差异有统计学意义(P<0.05)。结论:产程三维导航仪可提供客观数字化的产程监护,有利于临床医师判断产程进展,在判断胎方位、减少阴检及肛查及降低产褥感染等方面由于传统产程监护手段。

To investigate the advantages of the three-dimensional navigator in monitoring the labor process of singleton term vaginal birth. Method：120 patients with singleton term births in our hospital from October 2013 to April 2014. 60 subjects were enrolled in the experimental group and the birth process was monitored with three-dimensional navigator. Another 60 subjects were enrolled in the control group and the birth process was monitored with the traditional methods.Result：There was no significant difference between the two groups in terms of mothers’age , gestational weeks,neonatal birth weight and Apgar score. However,there was significant difference between the groups in terms of the coincidence rate of fetal position,Presentation decrease,Anal examination frequency,vaginal examination frequency and puerperal infection.Conclusion：The three-dimensional navigator observation can monitor the birth process effectively. This method is much better than traditional observation methods on helping doctors determine the progress of labor,judge the fetal position,reduce the perineum and anus check and reduce puerperal infection .