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目的探讨手法纠正持续性枕横位及持续性枕后位的临床意义。方法宫口开大4～8cm后仍处于持续性枕横位及持续性枕后位的产妇分为二组,处理组采取手法旋转胎位术,对照组仅作一般产科处理,观察分娩方式、产程及新生儿窒息率。结果处理组平均总产程及第二产程均明显低于对照组(P<0.01),处理组的顺娩率明显高于对照组(P<0.01),而新生儿窒息率并不增加(P>0.05)。结论手法旋转持续性枕横位及持续性枕后位,可改善胎头俯屈,缩短产程、减轻产妇痛苦,降低难产的发生率,且操作简单,见效快,成功率高。
Objective To explore the clinical significance of manipulative techniques in correcting persistent occiput transverse position and posterior occiput posterior position. Methods After the cervix was opened for 4 ~ 8cm, the women who were still in continuous occipital transverse position and persistent posterior occipital posterior position were divided into two groups. The treatment group was treated by manual rotation of fetal position, while the control group was treated only by general obstetric treatment. The mode of delivery, And neonatal asphyxia rate. Results The average length of labor and the second stage of labor in the treatment group were significantly lower than those in the control group (P <0.01). The delivery rate in the treatment group was significantly higher than that in the control group (P <0.01), while the neonatal asphyxia rate did not increase (P> 0.05). Conclusion The technique of rotating continuous occipital transverse position and continuous occiput posterior position can improve the fetal head flexion, shorten the labor process, reduce maternal pain and reduce the incidence of dystocia, and the operation is simple, quick, high success rate.