徒手旋转胎头辅以对侧卧位处理头位难产的临床效果分析

Clinical analysis of manual rotation of the fetal head combined with contralateral decubitus treatment for head presentation dystocia

目的研究徒手旋转胎头辅以对侧卧位处理头位难产的临床效果。方法本次研究选取的研究对象为2016年1月1日~2017年1月31日期间在我院分娩的头位难产产妇,将60例产妇计算机随机分为两组,各30例。其中,一组产妇实施胎背对侧卧位分娩(对照组),另一组采用徒手旋转胎头辅以对侧卧位分娩(观察组)。对比两组头位难产产妇的分娩情况、不良事件发生率以及新生儿窒息率、NBNA评分。结果观察组头位难产产妇的分娩成功率、不良事件发生率均优于对照组产妇(P<0.05),观察组新生儿的窒息率比对照组低(P<0.05),对比NBNA评分差异有统计学意义(P<0.05)。结论头位难产产妇采用徒手旋转胎头辅以对侧卧位进行分娩可促进分娩成功率的提高,减少不良事件发生率,有利于母婴安全。

Objective To study the clinical analysis of hand rotating fetal head combined with contralateral decubitus treatment for head presentation dystocia. Meghods In this study,60 maternal of head presentation dystocia from January 1,2016 to January 31,2017 who delivery in our hospital were selected as the subjects,and were randomly divided into 2 groups,30 cases in each group.Among them,one group of women underwent delivery of the fetal back to the contralateral decubitus （control group）,while the other group underwent manual rotation of the fetal head and assisted contralateral decubitus delivery （observation group）.The condition of delivery,the incidence of adverse events,neonatal asphyxia and NBNA score of delivery women with cephalic dystocia were compared between two groups. Results The maternal delivery success rate,adverse events rate of delivery women with cephalic dystocia in observation group were better than those in control group （P 〈 0.05）,the neonatal asphyxia rate of the observation group was lower than that of the control group （P 〈 O.05）,and the difference of NBNA score was significant （P 〈 0.05）. Conclusion The use of manual rotation of the fetal head combined with contralateral decubitus treatment for head presentation dystoeia can promote the success rate of delivery,reduce the incidence of adverse events,and help mother and baby safety.