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目的:研究同侧俯卧位对枕后位产程活跃期停滞胎方位纠正率和自然分娩率的影响。方法:选取中山市黄圃人民医院2014年3月至2016年11月收治的枕后位产程活跃期停滞正常产妇144例,采取数字随机法分成观察组和对照组,观察组采取同侧俯卧位,对照组采取随意卧位,比较两组胎方位纠正率及自然分娩率。结果:观察组胎方位纠正率88.89%,对照组胎方位纠正率30.56%,观察组胎方位纠正率高于对照组,差异具有统计学意义(P<0.05)。观察组自然分娩率90.28%,对照组自然分娩率77.78%,观察组自然分娩率高于对照组,差异具有统计学意义(P<0.05)。结论:同侧俯卧位对枕后位产程活跃期停滞胎方位纠正率有着有利影响,并且可提高自然分娩率,是一种简单易行且无创的辅助分娩方法。
OBJECTIVE: To study the effect of ipsilateral prone position on the correction rate of azimuthal position and spontaneous delivery in the active part of the occiput posterior process. Methods: One hundred and forty-four normal pregnant women with stagnated active posterior occipitocele who were treated in Zhongshan Huangpu People’s Hospital from March 2014 to November 2016 were selected and randomly divided into observation group and control group. The observation group was treated with ipsilateral prone position , The control group to take random position, the two groups of fetal position correction rate and natural delivery rate. Results: The correction rate of fetal position was 88.89% in observation group and 30.56% in control group. The corrected rate of fetal position in observation group was higher than that in control group, with statistical significance (P <0.05). The rate of spontaneous delivery was 90.28% in the observation group and 77.78% in the control group. The rate of spontaneous delivery in the observation group was higher than that in the control group (P <0.05). CONCLUSIONS: The ipsilateral prone position has a beneficial effect on the correction rate of the position of the obstruction in the active part of the occiput posterior birth and improves the rate of natural childbirth. It is a simple and feasible method of assisted delivery.