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目的对改变产妇体位矫正胎儿方位的临床疗效进行研究,证实体位矫正胎儿方位的临床价值。方法以我院2010年6月～2012年6月分娩的100例胎位不正的产妇为研究对象,将其随机分为两组,每组50例。观察组为通过改变产妇体位矫正胎儿方位进行干预;对照组不进行任何干预。对两组研究对象的分娩方式、剖宫产情况、新生儿评分及产程等临床资料进行比较,并进行统计学分析。结果观察组阴道分娩42例,阴道分娩率为84.0%优于对照组阴道分娩8例,其阴道分娩率为16.0%,具有显著差异性(P<0.05);在剖宫产中情况比较中,观察组优于对照组,具有显著差异性(P<0.05);在新生儿评分比较中,两组无显著差异性(P>0.05)。结论改变产妇体位应用于临床矫正枕后位胎位不正,能有效降低剖宫产率,降低难产发生率,具有重要的临床价值。
Objective To study the clinical effect of changing maternal position correction fetus position and confirm the clinical value of position correction fetus position. Methods 100 cases of unmarried mothers who gave birth in our hospital from June 2010 to June 2012 were randomly divided into two groups (n = 50 in each group). The observation group was intervened by changing the maternal position to correct the fetal position; the control group did not make any intervention. The clinical data of mode of delivery, cesarean section, neonatal score and labor course of the two groups were compared and statistically analyzed. Results In the observation group, 42 cases were vaginal delivery, the vaginal delivery rate was 84.0%, which was better than the control group, 8 cases were vaginal delivery, the vaginal delivery rate was 16.0%, with significant difference (P <0.05); in the case of cesarean section, The observation group was superior to the control group, with significant difference (P <0.05); in neonatal score comparison, there was no significant difference between the two groups (P> 0.05). Conclusion The application of maternal position in clinical correction of post-position fetal position is not correct, which can effectively reduce the rate of cesarean section and reduce the incidence of dystocia, which has important clinical value.