使用侧俯卧位矫正枕后位和枕横位转至枕前位的临床分析

摘要

Objective:To study the clinical efficacy of lateral-prostration position to correct occiput-posterior and occiput-transverse position before childbirth.Method:112 pregnant patients of occiput-posterior and occiput-transverse position in our hospital were selected.They were randomly divided into observation group(56 cases) and control group(56 cases).While these pregnant patients entered the delivery room to be produced,the cases of observation group were guided to be lateral prostration position(the fetal spinal side line on the same lateral prostration side) to correct the fetal position.And the cases of control group were guided to be free position.Then to observe the ratio of correcting the fetal position to occiput-anterior position and rate of natural childbirth.Result:The success rate of fetal position correction(73.2%) in observation group was higher than that of the control group(23.2%) .The rate of natural childbirth(89.3%) in the observation group was higher than that of the contrd group(48.2%),the results had statistical significance(P<0.05).Conclusion:It suggests that lateral-prostration position is effective for correcting women with occiput-posterior and occiput-transverse position before childbirth.The method is worth promoting in future practice.%目的：探讨在孕妇分娩前使用侧俯卧位矫正枕后位和枕横位转至枕前位的临床疗效。方法：选择于2013年在笔者所在医院产科住院分娩的枕后位、枕横位孕妇患者共112例，随机分为观察组和对照组，各56例。观察组患者在进入产房待产时，即指导其行侧俯卧位(向胎儿脊柱侧行同侧侧俯卧位)，以期通过改变孕妇体位而间接改变胎儿胎位；对照组患者则采用自由体位。观察两组孕妇患者胎位转至正常枕前位的比例并比较两组分娩方式。结果：观察组的胎位矫正成功率为73.2%，高于对照组的23.2%；自然分娩率为89.3%也显著高于对照组的48.2%，差异均有统计学意义(P<0.05)。结论：在孕妇分娩前合理指导其行侧俯卧位对于矫正枕后位和枕横位转变为枕前位确实具有一定的临床疗效，值得在以后的实践中大力推广。