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前倾跪位与侧俯卧位在进入活跃期后纠正枕后位的效果观察
http://www.100md.com 2019年4月29日 健康护理 20193
    

    摘要:目的:分析产程中产妇进入活跃期后应用前倾跪位(身体前倾屈位)及侧俯卧位(夸张Sims体位)纠正枕后位的可行性及安全性。方法:将我院 2017年6月—2018年12月进入活跃期后,经阴道检查确诊为枕后位的单胎、低危初产妇150例作为研究对象,其中75例采用前倾跪位及侧俯卧位纠正枕后位作为试验组,75例未做体位指导作为对照组,比较两组产妇的第一、第二产程时间、顺产率、新生儿窒息等效果观察。结果:试验组顺产率明显高于对照组,第一、第二产程时间、新生儿窒息率明显低于对照组,组间差异有统计学意义(P < 0.05)。结论:产程中产妇进入活跃期后应用前倾跪位及侧俯卧位纠正枕后位缩短了产程时间,能够提高顺产率,降低因头盆不称引起的剖宫产率,还能够降低新生儿窒息的发生,这些特殊体位技巧的运用值得临床推广。

    关键词:活跃期;枕后位;前倾跪位;侧俯卧位;顺产率;效果观察

    [Abstract] Objective: To analyze the feasibility and safety of correcting occipitoposterior position with anteversion kneeling position (body forward bending position) and lateral prone position (exaggerated Sims position) after active stage of labor. Methods: 150 cases of single fetus and low-risk primipara diagnosed as occipitoposterior unit by vaginal examination in our hospital from June 2017 to December 2018 were studied. 75 cases of them were treated with anteversion kneeling position and lateral prone position to correct occipitoposterior position as the experimental group ......

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