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目的探讨新法徒手旋转胎头在头位难产孕妇治疗中的应用价值。方法选取2014年8月至2015年2月洛阳市妇女儿童医疗保健中心收治的586例头位难产孕妇作为研究对象,按随机数字表法将其分为对照组与研究组,各293例。对照组孕妇分娩时采用常规旋转胎头方法助产,研究组孕妇采用新法徒手旋转方法,比较两组孕妇分娩方式及新生儿并发症发生情况。结果研究组孕妇的自然分娩率、阴道助产率均明显高于对照组,剖宫产率明显低于对照组,差异均有统计学意义(均P<0.05);研究组胎儿窘迫和新生儿窒息发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论在头位难产中应用新法徒手旋转胎头有助于降低孕妇剖宫产率与新生儿并发症发生率。
Objective To explore the application value of hand-rotating fetal head in the treatment of pregnant women with dystonic head. Methods A total of 586 first-degree pregnant women with dystocia who were admitted to Luoyang Women’s and Children’s Medical Center from August 2014 to February 2015 were selected as study subjects and divided into control group and study group (293 cases) according to random number table method. Pregnant women in the control group were delivered by conventional rotational fetal head during childbirth. The pregnant women in the study group were rotated by a new method of hand rotation. The mode of delivery and the complications of newborns in both groups were compared. Results The spontaneous delivery rate and vaginal delivery rate of pregnant women in study group were significantly higher than those in control group, and the cesarean section rate was significantly lower than that in control group (all P <0.05). In the study group, fetal distress and neonatal Asphyxia were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion The application of new hand rotation of the fetal head during dystocia can help reduce the incidence of cesarean section and neonatal complications in pregnant women.