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目的:研究同侧俯卧位对枕后位产程活跃期停滞胎方位纠正率和自然分娩率的影响。方法:选取我院收治的枕后位产程活跃期停滞产妇160例,采取数字随机法分成同侧组自由组,同侧组采取同侧俯卧位治疗,自由组采取自由卧位治疗,比较两组的治疗对产妇的胎方位纠正率及自然分娩率的影响。结果:同侧组胎方位纠正率90.00%,自由组胎方位纠正率31.25%,同侧组胎方位纠正率高于自由组,差异有统计学意义(P<0.05)。同侧组自然分娩率91.25%,自由组自然分娩率77.50%,同侧组自然分娩率高于自由组,差异有统计学意义(P<0.05)。结论:同侧俯卧位可提高枕后位产程活跃期停滞胎方位纠正率和自然分娩率,并且无创简便,是一种有效的干预方法。
OBJECTIVE: To study the effect of ipsilateral prone position on the correction rate of azimuthal position and spontaneous delivery in the active part of the occiput posterior process. Methods: 160 cases of stagnating maternal active post-occipital births treated in our hospital were selected and randomly divided into ipsilateral group and ipsilateral group with ipsilateral prone position. The free group was treated with free lying position. Of the treatment of maternal fetal position correction rate and the impact of natural delivery rate. Results: The correction rate of ipsilateral group was 90.00%. The correction rate of free group was 31.25%. The correction rate of ipsilateral group was higher than that of free group. The difference was statistically significant (P <0.05). The rate of spontaneous delivery was 91.25% in the ipsilateral group and 77.50% in the free group. The spontaneous delivery rate in the ipsilateral group was higher than that in the free group (P <0.05). CONCLUSION: The ipsilateral prone position can improve the correction rate of azimuth and spontaneous delivery rate in active posterior labor and is non-invasive and convenient. It is an effective intervention method.