手法复位分娩与自然螺旋分娩在头位难产孕妇中的应用比较

Comparison of the Application of Manual Reduction Delivery and Natural Spiral Delivery in the Pregnant Womenwith Head Position Dystocia

目的:研究手法复位分娩与自然螺旋分娩应用于头位难产孕妇的效果。方法:选取2018年4月—2019年4月间清丰县妇幼保健院收治的头位难产孕妇96例,按照随机数字表法分为手法复位组和自然螺旋组,每组各48例。手法复位组采用手法复位分娩,自然螺旋组采用自然螺旋分娩。比较两组分娩情况(剖宫产、胎儿窘迫、胎儿窒息发生率)及并发症(子宫裂伤、肠粘连、产后出血)。结果:手法复位组剖宫产发生率8.33%、胎儿窘迫发生率4.17%、胎儿窒息发生率4.17%低于自然螺旋组27.08%、18.75%、16.67%(P<0.05);手法复位组并发症发生率6.25%低于自然螺旋组20.83%(P<0.05)。结论:与自然螺旋分娩比较,手法复位分娩应用于头位难产孕妇能降低剖宫产率,缩短产程,改善胎儿结局及呼吸状态,减少并发症发生。

Objective:To study the effect of manual reduction delivery and natural spiral delivery in the treatment of pregnant women with head position dystocia.Methods:A total of 96 pregnant women with head position dystocia in the hospital(from April 2018 to April 2019) were selected,they were divided into manual reduction group and natural spiral group according to the random number table method,with 48 cases in each group.The manual reduction group used manual reduction to deliver,and the natural spiral group used natural spiral to deliver.The two groups of birth conditions(cesarean section,fetal distress,incidence of fetal asphyxia) and complications(uterine laceration,intestinal adhesions,postpartum hemorrhage) were compared.Results:The incidence of cesarean section,fetal distress and asphyxia in manual reduction group were 8.33%,4.17% and 4.17% respectively,which were lower than that in natural spiral group at 27.08%,18.75% and 16.67%(P<0.05).The incidence of complications in the manual reduction group was 6.25%,lower than that in the natural spiral group at 20.83%(P<0.05).Conclusion:Compared with natural spiral delivery,manual reduction delivery can reduce the rate of cesarean section in the pregnant women with head position dystocia,improve fetal outcomes and reduce complications.