目的:探讨头位初产产妇产程图在剖宫产术中的应用。通过监测产程图上一些量化指标的分析,及时掌握产程进展,及时处理。方法:将140例产程图描绘完整有异常的头位初产妇设为难产组,随机选择同期自然分娩初产妇140例作为顺产组,将两组产程图回顾性对比分析。结果:两组宫颈扩张速度比较有统计学差异(P<0.01),胎头下降速度潜伏期比较有统计学差异(P<0.01),活跃期比较无统计学差异(P>0.05),其他临床指标比较均有统计学差异(P<0.01)。结论:通过产程图上一些量化指标的监测,可以预测造成头位难产的各项因素是否存在,及时识别头位难产,以尽早及时处理,减少产科并发症,降低滞产率,减少婴儿围产期发病率及死亡率。 Objective: To explore the application of head-born primiparous labor in cesarean section. By monitoring the production plan of some quantitative indicators of the analysis, timely grasp of labor progress, timely manner. Methods: One hundred and forty cases of primiparas with abnormal head position were described as 140 cases of labor group. 140 cases of primiparous spontaneous labor during the same period were randomly selected as the follow-up group. The labor charts of the two groups were compared retrospectively. Results: There was significant difference in the rate of cervical dilatation between the two groups (P <0.01), and there was significant difference in the declining rate of fetal head (P <0.01), no significant difference in active stage (P> 0.05), other clinical indexes The differences were statistically significant (P <0.01). Conclusion: Through the monitoring of some quantitative indicators in the labor chart, we can predict the existence of various factors that lead to head dystocia, timely identification of head dystocia, timely and prompt treatment, reduce obstetric complications, reduce the rate of delayed labor and reduce perinatal Period morbidity and mortality.