极度屈髋外展联合侧卧位纠正持续性枕横位和枕后位的临床观察

Clinical observation of extreme hip flexion and abduction with lateral position to correct persistent occipitoposterior position and persistent occipitotransverse position

目的：探讨母体极度屈髋外展联合侧卧位纠正胎头持续性枕横位和枕后位的临床应用效果。方法：选择2015年1-9月胎头持续性枕横位和枕后位的产妇66例，随机等分为研究组和对照组，研究组采用极度屈髋外展联合侧卧位纠正持续性枕横位和枕后位；对照组采用单纯侧卧位纠正。比较两组的临床应用效果。结果：研究组自然复位率高于对照组，且自然复位时间及第二产程时间均短于对照组，两组比较差异有统计学意义（P〈O．05）；两组产妇在产后出血及新生儿Apgar评分方面比较，差异均无统计学意义（P〉0．05）。结论：极度屈髋外展联合侧卧位在纠正持续性枕横位和枕后位中自然复位率高，自然复位时间短，且不增加母婴损伤，对促进自然分娩具有重要意义。

Objective：To explore the clinical application effects of maternal extremity hip flexion and abduction with lateral position to correct fetal head＇s persistent occipitopostefior position and persistent occipitotransverse position. Methods：Selected 66 puerperae with fetal head in persistent occipitoposterior position and persistent occipitotransverse position from January to September in 2015, randomly divided them into research group and control group, adopted extreme hip flexion and abduction with lateral position to correct persistent occipitoposterior position and persistent occipitotransverse position on the research group ; solely adopted lateral position correction on the control group. Compared the clinical application effects of the two groups. Results ： Natural restoration rate of the research group was higher than that of the control group, both time of natural restoration and second stage of labor were shorter than those of the control group, and differences of the two groups were of statistical significance （ P 〈 0.05 ） ; in comparison of postoperative bleeding and newborn Apgar scores, differences were of no statistical significance （ P 〉 0.05 ）. Conclusion ： Extreme hip flexion and abduction with lateral position has a high natural res- toration rate and short natural restoration time in correcting persistent occipitoposterior position and persistent occipitotransverse position without increasing trauma of mother and infant, playing an important role in propelling natural childbirth.