不同助产方法用于处理持续性枕横位的临床观察

Clinical observation of different midwifery methods in treatment of persistent occipital transverse position

目的研究不同助产方法用于处理持续性枕横位的助产效果,为临床提供依据。方法选取2014年1月至2016年1月本院妇产科收治的70例持续性枕横位产妇为研究对象,根据助产方法分为观察组和对照组各35例。观察组产妇采用徒手旋转胎头进行助产,对照组产妇采用胎头吸引术进行助产,比较两组产妇助产效果。结果观察组产妇产伤率及产后出血率显著低于对照组产妇,差异有统计学意义(P<0.05);而两组新生儿平均Apgar评分比较,差异无统计学意义(P=0.359)。观察组新生儿窒息、颅内出血、头颅血肿及新生儿死亡发生率等并发症发生率5.71%,显著低于对照组新生儿并发症发生率(χ~2=4.200,P=0.040)。结论采用徒手旋转胎头进行助产安全有效,助产效果好。

Objective To study the effect of different midwifery methods in the treatment of persistent occipital transverse position and to provide evidence for clinical practice. Methods 70 cases of puerpera with persistent occipital transverse position admitted between January 2014 and January 2016 were enrolled in this study. According to the method of midwifery, they were divided into observation group （n= 35） and control group （n = 35）. The control group was treated with fetal head aspiration for midwifery, the observation group used for manual rotation of fetal head midwifery and the effect of midwifery was compared between the two groups. Results There was no significant difference in neonatal Apgar score between the two groups （P = 0.359）. The injury degree of the midwife of the observation group was significantly lower than that of the control group （P〈0. 05）. The incidence of complication （neonatal asphyxia, intracranial hemorrhage, head hematoma and neonatal death） in the observation group was lower than that in the control group （X2= 4.200,P = 0.040）.Conclusions It is safe and effective to use mid-fetus to rotate the fetal head for midwifery. The midwifery effect is good and it is worth popularizing.