头位难产患者临床治疗观察

Clinical Treatment on Patients of Cephalic Presentation Dystocia

目的 对于头位难产患者的临床治疗方法以及效果进行观察研究。方法 选取于2013年11月~2015年9月我院收治的头位难产患者62例,并随机分为对照组（29例）和治疗组（33例）,观察常规产程自然旋转分娩以及徒手旋转胎头术的治疗效果并比较。结果 治疗组患者的自然分娩率为75.8%,高于对照组的31.0%;治疗组剖宫产率、胎儿窘迫率、新生儿窒息率分别为9.1%、6.1%和9.1%,均低于对照组的31.0%、27.6%和31.0%,组间差异经t检验,具有统计学意义（P〈0.05）。结论 徒手旋转胎头术应用于头位难产患者中的治疗效果确切,能够对头位难产进行及时的纠正,对提高自然分娩率以及降低胎儿窘迫率、新生儿窒息率均具有十分重要的作用和意义。

Objective Clinical treatment method and its effect on patients of cephalic presentation dystocia are to be studied. Methods Chose 62 patients of cephalic presentation dystocia who were treated in hospital from November 2014 to September 2015 and separated them into control group（29 patients）and study group（33 patients）at random,and then observed treatment effects of spontaneous rotation delivery and manual rotation of fetal head between two groups. Results Patients＇ natural delivery rate in study group was 75.8%,which was much higher than 31.0% in control group,and in addition,patients＇ cesarean section rate,fetal distress rate and neonatal asphyxia rate in study group were 9.1%,6.1% and 9.1% respectively,which were much less than counterparts of 31.0%,27.6% and 31.0% in control group,there was a differential between two groups according to T-check and such a differential had statistic value（P 0.05）. Conclusion Manual rotation of fetal head is effective in treatment of patients with cephalic presentation dystocia and it is conducive to timely correction of cephalic presentation dystocia,thus,such a treatment is quite beneficial and significant to increase natural delivery rate and reduce fetal distress and neonatal asphyxia rate.