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目的:分析头位难产的发生原因,探讨有效的诊疗和护理干预措施。方法:选取我院2015年2月~2016年7月期间收治的66例头位难产产妇作为研究对象,与同期于我院正常分娩的60例产妇进行对照,分别作为观察组和对照组,比较两组产妇的分娩结局、分娩方式及产后并发症发生情况。结果:与对照组相比,观察组产妇的产后出血量[(350.64±22.82)ml>(195.22±15.06)ml]和住院时间[(9.14±1.18)d>(4.85±0.62)d]相对更高,而新生儿Apgar评分[(8.57±0.95)分<(9.34±0.62)分]相对更低,对比差异显著(P<0.05)。观察组产妇的剖宫产率(54.55%>15%)、新生儿窒息和胎儿窘迫发生率均明显高于对照组,对比差异具有统计学意义(P<0.05)。结论:针对头位难产的发生原因,采取有效的诊疗和护理措施,妥善处理胎位异常情况,降低分娩风险,确保产妇能够安全、顺利的分娩。
OBJECTIVE: To analyze the causes of head dystocia and to explore effective treatment and nursing interventions. Methods: Sixty-six cases of headparts with dystocia who were treated in our hospital from February 2015 to July 2016 were selected as the research objects, compared with 60 cases of normal delivery in our hospital during the same period, which were compared respectively as the observation group and the control group Two groups of maternal delivery outcomes, mode of delivery and postpartum complications. Results: Compared with the control group, the postpartum hemorrhage in the observation group was significantly higher than that in the control group [(350.64 ± 22.82) ml> (195.22 ± 15.06) ml] and hospital stay [(9.14 ± 1.18) d> (4.85 ± 0.62) d] (P <0.05), while Apgar score [(8.57 ± 0.95) points <(9.34 ± 0.62) points] was relatively lower in neonates with significant difference (P <0.05). Cesarean section rate (54.55%> 15%), neonatal asphyxia and fetal distress rate in the observation group were significantly higher than those in the control group, with significant difference (P <0.05). Conclusion: According to the causes of head dystocia, take effective diagnosis and treatment and nursing measures, properly handle the abnormal fetal position, reduce the risk of childbirth and ensure the safe and smooth delivery of the mother.