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目的探讨头位难产发生原因及处理、预防对策。方法 119例头位难产患者,回顾性分析头位难产分娩方式、发生原因及临床特点。结果本研究中剖宫产88例,阴道分娩31例。研究其发生原因发现:持续性枕横位、持续性枕后位占86例,宫缩乏力占15例,产道异常占13例,严重胎头位置异常占5例。结论头位难产临床上发病率较高,胎头位置异常易出现头位难产。选择合适分娩方式是降低围生儿死亡率的关键。
Objective To explore the causes of head dystocia and its treatment and preventive measures. Methods One hundred and ninety-nine patients with head-status dystocia were analyzed retrospectively. The reasons, clinical features and causes of dystocia during delivery were retrospectively analyzed. Results In this study, 88 cases of cesarean section, vaginal delivery in 31 cases. Study found that the causes of occurrence: continuous occipital transverse position, persistent occiput posterior position accounted for 86 cases, uterine inertia accounted for 15 cases, 13 cases of abnormal birth canal, severe fetal head position accounted for 5 cases. Conclusion The incidence of head dystocia clinically high, fetal head position abnormalities prone to head dystocia. Choosing the right mode of delivery is the key to reducing perinatal mortality.