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目的:探讨改良头位分娩评分法用于识别初产妇头位难产的可行性和临床价值。方法:对420例足月分娩初产妇应用改良头位分娩评分法进行适时评分,采取相应措施,选择正确分娩方式进行分娩。结果:420例孕妇中经阴道分娩为313例(74.5%),剖宫产的为107例(25.5%);新生儿窒息的发生率为5.2%(22/420);其中改良评分在80分以上的产妇经阴道分娩率为95.7%(267/279),剖宫产率为4.3%(12/279),评分在80分以下的产妇经阴道分娩率为67.4%(95/141),剖宫产率为32.6%(46/141),两者间比较,差异具统计学意义(P<0.05)。结论:改良头位分娩评分可及时地、准确地判断头位难产,便于医生作出正确选择,减少新生儿窒息的发生。
Objective: To investigate the feasibility and clinical value of a modified head delivery method in identifying first-born female patients with dystocia. Methods: 420 cases of full-term delivery of primipara newborns with a modified head delivery method for timely grading, take appropriate measures to choose the correct mode of delivery for childbirth. Results: Among 420 pregnant women, 313 (74.5%) were vaginal delivery and 107 (25.5%) were cesarean; the incidence of neonatal asphyxia was 5.2% (22/420); the improvement score was 80 The above rates of vaginal delivery were 95.7% (267/279), 4.3% (12/279) for cesarean section, 67.4% (95/141) for vaginal delivery with scores less than 80, The palace birth rate was 32.6% (46/141), the difference between the two was statistically significant (P <0.05). Conclusion: The improved headgear delivery score can promptly and accurately determine the first bit of dystocia, to facilitate the doctor to make the right choice to reduce the incidence of neonatal asphyxia.