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本文用电子计算机编制了头位分娩方式的计算机判断程序,以期加强分娩监护提高质量.一.与分娩有关的指标根据反映分娩三大因素(骨盆、产力、胎儿)的指标,选入在分娩过程中动态变化的、临床测定方便的、有重要诊断意义的临床指标,如宫口扩张、子宫收缩力、胎头下降速度等,共16个指标,47个项目(附表)。其中,(1)胎方位以需判断时的阴道检查结果为准。(2)子宫收缩“中”、“强”均为正常有效的宫缩,仅仅是强度不同的两个等级;子宫收缩“弱”包括原发性、继发性宫缩乏力及宫缩不协调等效果差及无效的子宫收缩。(3)宫口扩张速度:潜伏期为宫口未开大到2cm 所需的时间,一般为8—16小时,加速期为宫口开大
In this paper, computer-based head computer mode of judgment of birth, with a view to strengthening the guardianship of childbirth to improve quality.And the indicators related to childbirth according to reflect the three major factors of childbirth (pelvic, labor, fetus) index selected in childbirth Dynamic changes in the process of clinical determination of convenience, there are important clinical significance of diagnostic indicators, such as cervical dilatation, uterine contractility, the rate of decline of fetal head, a total of 16 indicators, 47 items (Schedule). Among them, (1) tire position to determine when the vaginal examination results shall prevail. (2) uterine contraction “in” and “strong” are normal and effective uterine contractions, only two different levels of intensity; uterine contractions “weak” including primary, secondary uterine atony and uterine contractions Equivalent effects and ineffective uterine contractions. (3) the rate of expansion of the cervix: the incubation period for the cervix is not open up to 2cm the time required, usually 8-16 hours, the acceleration period for the cervix