手法旋转胎头在产程中的应用
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Application of rotating the fetal head by hand in labor
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    目的:探讨手法旋转胎头纠正持续性枕横位和持续性枕后位在产程中的应用价值,降低剖宫产率.方法:对观察组89例持续性枕横位和枕后位的产妇在宫口扩张6 cm以上采用手法旋转胎头,并设同期72例相同头位异常的产妇为对照组,不予任何干预措施.结果:观察组89例产妇经手法旋转胎头转为枕前位成功率为84.2%(75/89),均经阴道分娩,剖宫产率13.5%(12/89);对照组72例,剖宫产率为65.2%(47/72).两组剖宫产比较差异有显著性(P《0.01).结论:适时手法旋转胎头,可明显降低剖宫产率,减少母婴并发症.

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    Objective:To investigate the application value Of rotating fetel head by hand to correct persistent occipitotransverse position and occipitoposterior position during labour, so as to reduce the caesarean section rate Methods:Eighty-nine pregnant women with persistent occipitotransverse position and occipitoposterior position when cervix dilated over 6 cm were performed rotating fetel head by hand, and 72 pregnant women with similar obstetric condition were treated as control group without any intervention.Results:75 of the 89 were successfully rotated into occipitoahead position in the former condition (84.2%),who all underwent vaginal delivery. In study group, the caesarean section rate was 13.5%(12/89), compared with the 65.2%(47/72) of that of the control, and it showed significant difference in the two groups(P<0.01).Conclusion; To perform the rotating timely can reduce the caesarean section rate and lower the complication for lying-in women and babies obviously.

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张国英.手法旋转胎头在产程中的应用[J].南京医科大学学报(自然科学版),2005,(1):47-

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  • 收稿日期:2004-06-08
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