目的：探讨全程体位管理矫正枕后位枕横位的临床效果。方法收集2010年1月至2014年12月我院分娩的病例，将发生持续性枕后位或持续性枕横位的患者定义为研究组（253例）。将持续性枕后位的患者定义枕后位组（91例），将持续性枕横位患者定义为枕横位组（162例）。随机抽取同期住院分娩、无剖宫产史、均为头位分娩的产妇作为对照组（253例）。结果研究组的剖宫产率明显高于对照组的剖宫产率（P＜0.05），而中初产妇的剖宫产率明显高于经产妇的剖宫产率（P＜0.05）。枕后位组经产妇的剖宫产率高于枕横位组经产妇的剖宫产率（P＜0.05），枕后位组初产妇的剖宫产率高于枕横位组初产妇的剖宫产率（P＜0.05）。结论体位管理对于持续性枕后位患者的效果差于对于持续性枕横位患者。体位管理对于经产妇的效果好于初产妇。体位管理对于持续性枕后位患者效果不佳时，应尽快终止试产，剖宫产终止妊娠。%Objective To discuss the clinical effect of whole-course body position management of occipital transverse/posterior in the labor.Methods 253 cases of occipital transverse/posterior position were selected as study group,among which 91 cases of persistent occipitoposterior position were deifned as POPP group and 162 cases of persistent occipitotransverse position were deifned as POTP group. Other 253 cases who had no caesarean section history and gave head-position delivery were randomly chosen as control group.Results The cesarean section rate of study group was higher than that of control group. And the cesarean section rates of multipara in POPP group and POTP group were higher than those of primipara in POPP group and POTP group. Conclusion Body position management had better effect for POTP patients than POPP patients,and for multiparas than primiparas. It should be terminated as soon as it had poor effect for POPP patients.
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