手法复位与自然螺旋分娩干预在头位难产产妇中的差异性分析

Analysis of the Difference Between Manual Reduction and Natural Spiral Labor Intervention in Cephalic Dystocia

目的探究手法复位与自然螺旋分娩干预在头位难产产妇中的差异性。方法研究对象选取睢县妇幼保健院2020年4月至2021年5月分娩的头位难产孕妇72例,采用随机数字表法对以上孕妇进行分组,分为观察组和对照组各36例,对照组采用自然螺旋分娩方案,观察组则采用手法复位方案。对比两组转位成功率,新生儿的Apgar评分及母婴相关并发症情况,两组产妇的产程时间长度及两组产妇的分娩操作满意度情况。结果观察组成功转位32例,其余2例行产钳助产,2例行胎头吸引术,转位成功率88.89%;对照组成功转位22例,其余3例行产钳助产,9例行胎头吸引术,2例转为剖宫产分娩,转位成功率61.11%,两组转位成功率对比,差异有统计学意义(P<0.05)。观察组新生儿Apgar评分高于对照组,差异有统计学意义(P<0.05)。观察组产妇并发症发生率(11.11%)(4/36),显著低于对照组(30.56%)(11/36),观察组新生儿并发症发生率(8.33%)(3/36)显著低于对照组(27.78%)(10/36),差异有统计学意义(P<0.05)。观察组产妇的产程时间长度低于对照组产妇,差异有统计学意义(P<0.05)。观察组产妇的分娩操作满意度评分高于对照组产妇,差异有统计学意义(P<0.05)。结论在针对头位难产的产妇人群中,采用手法复位的操作方式,能够较提升胎儿的转位成功率,改善新生儿Apgar评分,减少产妇和新生儿的并发症发生率,缩短产程的时间,增加产妇对分娩操作满意度。

Objective To explore the difference between manual reduction and natural spiral labor intervention in cephalic dystocia.Methods A total of seventy-two cases of dystocia pregnant women with the head position who delivered from April 2020 to May 2021 in Suixian Maternal and Child Health Hospital were selected as subjects.The above pregnant were divided into an observation group and a control group with 36 cases in each group by numerical random table method.The control group was given the natural spiral delivery scheme,and the observation group was given the manual reduction scheme.The success rate of transposition,Apgar score of neonates,maternal and infant-related complications,length of labor,and satisfaction of labor operation were compared between the two groups.Results In the observation group,32 cases were successfully translocation,the other 2 cases underwent forceps-assisted delivery,and 2 cases underwent fetal head suction,the success rate of translocation was 88.89%.In the control group,22 cases were successfully transposition,the other 3 underwent forceps-assisted delivery,9 underwent fetal head suction,2 cases were converted to cesarean section,the success rate of transposition was 61.11%,and the difference between the two groups was statistically significant(P<0.05).The Apgar score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of maternal complications in the observation group(11.11%)(4/36)was significantly lower than that in the control group(30.56%)(11/36),and the incidence of neonatal complications in the observation group(8.33%)(3/36)was significantly lower than that in the control group(27.78%)(10/36),with statistical significance(P<0.05).The duration of labor in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The maternal satisfaction score of labor operation in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion In the maternal population of cephalic dystocia,manual reduction can improve the success rate of fetal transposition,improve neonatal Apgar score,reduce the incidence of maternal and neonatal complications,shorten the duration of labor,and increase maternal satisfaction with labor operations.