摘要
目的研讨徒手旋转在头位难产产妇助产护理中的应用以及效果。方法以2016年10月至2019年10月我院收治的90例头位难产产妇为例,按1:1比例随机纳入两组,A组(n=45)接受常规助产护理,B组(n=45)在上述基础上实施徒手旋转助产,比较两组的干预效果。结果两组产妇的阴道助产率比较差异较小,无统计学意义(P>0.05);但B组产妇的顺产率、剖宫产率较A组均明显占优,有统计学意义(P<0.05)。B组产妇活跃期时间、第二产程时间较A组缩短均更显著,有统计学意义(P<0.05)。B组出现新生儿窒息、宫内窘迫与产后出血的概率较A组降低均更显著,有统计学意义(P<0.05)。结论对头位难产产妇应用徒手旋转辅助分娩,整体助产护理效果更理想,值得推荐。
Objective To study the application and effect of bare hand rotation in the midwifery nursing of head position dystocia.Methods Ninety cases of dystocia in our hospital from October 2016 to October 2019 were randomly divided into two groups according to the proportion of 1:1.Group A(n=45)received routine midwifery care.Group B(n=45)carried out hand rotation midwifery on the basis of the above,and compared the intervention effect of the two groups.Results There was no significant difference in vaginal delivery rate between the two groups(P>0.05),but the rate of spontaneous delivery and cesarean section in group B was significantly higher than that in group A(P<0.05).Compared with group A,the active period and the second stage of labor in group B were significantly shorter(P<0.05).The incidence of neonatal asphyxia,intrauterine distress and postpartum hemorrhage in group B was significantly lower than that in group A(P<0.05).Conclusion The nursing effect of whole midwifery is more ideal and worth recommending.
作者
汪彩霞
WANG Cai-xia(The First People’s Hospital of Longxi County,Longxi,Gansu 748100)
出处
《智慧健康》
2020年第14期153-154,共2页
Smart Healthcare
关键词
徒手旋转
头位难产
助产护理
Free hand rotation
Head position dystocia
Midwifery nursing
