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目的探讨初产妇头位难产诊断中新旧产程图应用的对比研究。方法选取2013年9月至2015年8月在清华大学玉泉医院产科病房的212例头位难产初产妇,根据产程图分为新产程图组和旧产程图组,比较两组产程时间、产科干预措施、临床表现及妊娠结局。结果新产程图组第一产程和第二产程均较旧产程图组有显著变化,产科干预措施明显减少、剖宫产率有所降低,差异有统计学意义(P<0.05);产妇临床表现两组差异无统计学意义(P>0.05)。结论采用新产程图处理头位难产初产妇能降低剖宫产率、减少产科干预措施,有助于对初产妇头位难产做出及早的诊断。
Objective To investigate the application of new and old labor diagrams in the diagnosis of primipara bit dystocia. Methods From September 2013 to August 2015 at the Yuquan Hospital, Tsinghua University, 212 cases of primipara of labor in the obstetric wards were divided into new labor group and old labor group according to the birth chart, and the time of labor, obstetric intervention Measures, clinical manifestations and pregnancy outcomes. Results The first stage of labor and the second stage of labor in the new labor group had a significant change compared with the old labor group, the obstetric intervention significantly reduced, the rate of cesarean section decreased, the difference was statistically significant (P <0.05); maternal clinical manifestations There was no significant difference between the two groups (P> 0.05). Conclusions The treatment of primipara with early headpart dystocia can reduce the rate of cesarean section, reduce obstetric interventions, and help to make an early diagnosis of headpart dystocia.