头位难产的发生因素及其相应临床护理对策分析

An Analysis of Causes of Cephalic Presentation Dystocia and Relevant Clinical Nursing Countermeasures

目的:探讨头位难产的发生因素与护理干预的具体对策及其效果。方法:对照组48例接受常规护理,实验组48例给予包括常规护理与徒手旋转在内的护理干预,比较两组妊娠结局、产妇对护理工作满意度等有无差异。结果:本组产妇发生头位难产的原因以胎头位置异常35例(72.9%)为主,其次为产力异常7例(14.6%),产道异常(12.5%);实验组产妇的剖宫产率、胎儿窘迫与新生儿窒息发生率均较对照组明显更低(P<0.05);实验组产妇对护理工作总满意率高达95.8%,较之于总满意率为77.1%的对照组明显更高,差异有统计学意(P<0.05)。结论:头位难产的主要发生因素为胎头位置异常,及时识别难产原因,配合有效的护理干预有助于改善妊娠结局,确保母婴安全,值得临床采纳推广。

Objective:To investigate factors resulting in cephalic presentation dystocia and specific nurs-ing countermeasures and effect.Methods:48 cases in control group accepted usual care,while the 48 cases in experimental group were treated with usual nursing and rotation by hand,compare pregnancy outcome,pu-erperae's satisfaction with nursing in the 2 groups.Results:The main cause of cephalic presentation dystocia was found to be the abnormality of fetal head position,which included 35 cases (72.9%),the next one was abnormal labor force,which accounted for 12.5% of all.In experimental group ,cesarean section rate the oc-currence of,fetal distress and neonatal asphyxia were significantly lower than that in the control group (P <0.05);in experimental,puerperae's overall satisfaction with nursing work was up 95.8%,compared with the control group whose overall satisfaction rate was 77.1%,the rate in the experiment group was significantly higher (P <0.05).Conclusion:The main factors resulting in cephalic presentation dystocia is abnormality in fetal head position ,to recognize the causes of dystocia timely and combine effective nursing would help to im-prove pregnancy outcome,ensure the safety of the puerperae and infants,it is worth of adoption and clinical popularization.