骨盆摇摆联合气囊仿生助产在头位难产中的临床应用价值

Clinical application value of pelvic swing combined with balloon for dystocia in head position

目的探讨骨盆摇摆联合气囊仿生助产在头位难产中的临床应用价值。方法选择2015年1月~2016年7月本院收治的自然分娩的产妇80例,对照组行骨盆摇摆,观察组则在产程进入活跃期后,联合气囊仿生助产,比较两组干预不同时间点疼痛程度,分娩过程导致会阴裂伤情况以及两组分娩情况。结果观察组第一产程、第二产程入组者其疼痛视觉模拟评分均显著低于对照组（P〈0.05）,产后24h入组者其疼痛视觉模拟评分差异无统计学意义（P〉0.05）,观察组会阴完整率高于对照组（P〈0.05）,会阴裂伤率低于对照组（P〈0.05）,观察组行会阴切开率低于对照组（P〈0.05）,观察组顺产比例显著高于对照组,且使用产钳助产比例显著低于对照组（P〈0.05）。结论针对头位难产者行气囊仿生助产能有效减轻产妇疼痛,减少会阴侧切率,提高顺产率。

Objective To investigate the value of pelvic swing combined with balloon for dystocia in head position.Methods 80 cases of patients with spontaneous parturition from January 2015 to July 2016 in our hospital were randomly divided into two group.Patients in the control group were used pelvic swing,and patients in the observation group were used active period after birth and then combined with bionic group.Then pain,labor led to perineal laceration and delivery in the two group were compared.Results The scores of pain visual analogue scores in the first stage with labor and the second stage with labor in the observation group were significantly lower than those in control group（P〈0.05）.There had no significant difference in pain visual analogue score between the two groups after 24 hours（P〈0.05）.The rate of perineal laceration in the observation group was lower than control group（P〈0.05）.The rate of perineal incision in the observation group was lower than control group（P〈0.05）,and the ratio of delivery in the observation group with labor was significantly lower than control group（P〈0.05）.Conclusion For the head position dystocia,the balloon bionic birth can effectively relieve maternal pain and reduce the perineum lateral rate,so it can improve the cis rate.