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目的探讨非限制性自由体位对孕足月胎膜早破孕产妇残余羊水量及分娩方式的影响。方法 108例孕足月胎膜早破孕产妇,随机分为观察组和对照组,每组54例。所有研究对象入院后均给予胎膜早破常规处理,对照组给予传统头低臀高位,观察组给予非限制性自由体位,对比两组孕产妇残余羊水量及分娩方式。结果观察组孕产妇残余羊水指数为(10.71±4.56)cm,明显高于对照组的(8.68±3.39)cm,差异有统计学意义(P<0.05)。观察组残余羊水情况明显优于对照组,差异有统计学意义(P<0.05)。与对照组对比,观察组孕产妇自然分娩率显著升高,剖宫产率显著降低(P<0.05)。结论非限制性自由体位应用于孕足月胎膜早破孕产妇的分娩中,可帮助其使残余羊水量维持在正常水平,从而为其选择自然分娩奠定基础,有助于降低剖宫产率以及胎儿窘迫、宫内感染等发生率,且其操作简单,具有可行性。
Objective To investigate the influence of unrestricted free position on the residual amniotic fluid volume and delivery mode of pregnant women with premature rupture of membranes. Methods 108 pregnant women with preterm premature rupture of membranes were randomly divided into observation group and control group, with 54 cases in each group. All subjects were given conventional treatment of premature rupture of membranes after admission, the control group given the traditional low head and high hip, the observation group were given unrestricted free body position, the two groups of pregnant women residual amniotic fluid volume and mode of delivery. Results The residual amniotic fluid index of pregnant women in observation group was (10.71 ± 4.56) cm, which was significantly higher than that of control group (8.68 ± 3.39) cm, the difference was statistically significant (P <0.05). The observation group residual amniotic fluid was significantly better than the control group, the difference was statistically significant (P <0.05). Compared with the control group, the spontaneous labor rate of pregnant women in observation group increased significantly, and the cesarean section rate decreased significantly (P <0.05). Conclusion The application of unrestricted free position in pregnant women with preterm premature rupture of membranes can help to maintain the residual amniotic fluid level at the normal level and thus lay the foundation for their choice of natural childbirth and help reduce the rate of cesarean section As well as the incidence of fetal distress and intrauterine infection, and its operation is simple and feasible.