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目的观察自由体位分娩在胎头位置异常产妇中的应用效果。方法选取南方医科大学第五附属医院2014年1月~2016年1月200例头位置异常产妇,随机分组,观察组采用自由体位分娩方式,对照组采用传统体位分娩方式,比较两组分娩结果。结果 (1)观察组活跃期和第一产程时间短于对照组,P<0.05。(2)观察组的剖宫产率(5%)低于对照组,P<0.05。(3)观察组2级以下分娩疼痛率(90%)高于对照组,3级分娩疼痛率(10%)低于对照组,P<0.05。(4)观察组产后2h出血发生率(5%)、新生儿窒息发生率(1%)低于对照组,P<0.05。(5)观察组护理后焦虑评分低于对照组,P<0.05;观察组护理后焦虑评分低于对照组,P<0.05。(6)观察组满意程度(95%)高于对照组,P<0.05。结论自由体位分娩在胎头位置异常产妇中的应用可缩短生产时间,减少剖宫产率,降低产妇分娩的疼痛感,降低不良事件的发生率,提高产妇的舒适感和护理满意度,值得临床广泛应用和推广。
Objective To observe the effect of free position delivery on abnormal mothers with fetal head position. Methods 200 cases of abnormal head maternal position in the Fifth Affiliated Hospital of Southern Medical University from January 2014 to January 2016 were selected and randomly divided into groups. The observation group was given free postpartum delivery method and the control group was given traditional delivery method. The delivery results of two groups were compared. Results (1) The observation group was shorter in active stage and the first stage of labor than in control group, P <0.05. (2) Cesarean section rate (5%) in observation group was lower than that in control group, P <0.05. (3) The pain rate (90%) in the observation group below the second grade was higher than that in the control group, and the pain rate in the third grade (10%) was lower than that in the control group (P <0.05). (4) The incidence of hemorrhage 2h postpartum in observation group (5%), the incidence of neonatal asphyxia (1%) was lower than that in control group (P <0.05). (5) The score of anxiety in the observation group after nursing was lower than that in the control group, P <0.05; anxiety score of the observation group was lower than that of the control group after nursing (P <0.05). (6) The satisfaction of the observation group (95%) was higher than that of the control group (P <0.05). Conclusion The application of free position delivery in abnormal maternal fetal head position can shorten the production time, reduce the rate of cesarean section, reduce the pain of maternal delivery, reduce the incidence of adverse events, improve maternal comfort and nursing satisfaction, it is worth clinical Widely used and promoted.