胎头旋转法治疗枕后位难产的临床效果分析

Clinical Effect Analysis of Fetal Head Rotation Method in the Treatment of Difficult Labor in Posterior Occipital Position

目的探讨胎头旋转法治疗枕后位难产的临床效果。方法选择2020年3月—2023年3月于嘉峪关市第一人民医院就诊的180例枕后位难产患者作为研究对象,根据治疗方法不同分为对照组和观察组,各90例。对照组接受常规治疗,观察组接受胎头旋转法治疗。比较两组分娩方式以及胎儿阿普加(Appearance-pulse Grimace Activity Respiration,Apgar)评分。结果观察组顺产率显著高于对照组,观察组剖宫产率与产钳或胎吸助产率均显著低于对照组,差异有统计学意义(P<0.05)。观察组胎儿Apgar评分显著高于对照组,差异有统计学意义(P<0.05)。结论枕后位难产治疗中应用胎头旋转法可以显著提高顺产率与胎儿Apgar评分。

Objective To investigate the treatment method and application effect of fetal head rotation method for diffi-cult labor in occipital posterior position.Methods A total of 180 patients with posterior occipital dystocia treated in the First People's Hospital of Jiayuguan City from March 2020 to March 2023 were selected as the study objects,and were divided into control group and observation group according to different treatment methods,with 90 cases in each group.The control group received conventional treatment,and observed the treatment of group receiving fetal head ro-tation.The methods of delivery and appearance pulse grimace activity respiration(Apgar)were compared between the two groups.Results The vaginal delivery rate of the observation group was significantly higher than that of the control group,and the cesarean section rate and forceps or fetal aspiration midwifery rate of the observation group were signifi-cantly lower than those of the control group,and the difference was statistically significant(P<0.05).The Apgar score in the observation group was significantly higher than that in the control group,and the difference was statistically sig-nificant(P<0.05).Conclusion The application of fetal head rotation method in the treatment of difficult labor in oc-cipital posterior position can significantly improve the rate of normal delivery and fetal Apgar score.