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目的:探讨初产妇头位难产的原因以及处理措施。方法:资料选自2009年2月-2010年2月在本院门诊为头位难产的初产妇98例作为研究组,选取同期的98例正常分娩的初产妇为对照组,比较两组产妇的临床表现以及分析头位难产的原因。结果:研究组产程延长、宫颈水肿、胎膜早破及宫缩乏力的发生率明显较对照组高,比较差异明显,具有统计学意义(P<0.05);研究组98例头位难产的初产妇中,胎头位置异常的产妇有74例,占75.51%,其他24例宫缩乏力,占24.49%。结论:初产妇出现头位难产的主要因素是胎头位置异常,通过尽早识别难产征象及预防,出现头位难产实行合理的处理措施,可有效的促使顺利分娩,降低剖宫产率,从而保证母婴安全。
Objective: To investigate the causes of maternal headpart dystocia and the treatment measures. Methods: The data were from 98 cases of primipara in the outpatient department of our hospital from February 2009 to February 2010 as study group. 98 primiparous women in normal delivery period were selected as the control group. Clinical manifestations and analysis of the reasons for head dystocia. Results: The incidence of prolonged labor, cervical edema, premature rupture of membranes and uterine atony in study group were significantly higher than those in control group, with significant difference (P <0.05). In the study group, 98 cases Among mothers, there were 74 cases of abnormal fetal head position, accounting for 75.51%. The other 24 cases were uterine atony, accounting for 24.49%. CONCLUSION: The main cause of headpart dystocia in primipara is abnormal fetal head position. Through early identification of dystocia symptoms and prevention, reasonable treatment of head dystocia may occur, which can effectively promote the delivery and reduce the rate of cesarean section, so as to ensure Mother and child safety.