评价影响初产妇头位难产的因素、临床表现及其临床处理对策

发布时间：2018-01-18 04:35

本文关键词：评价影响初产妇头位难产的因素、临床表现及其临床处理对策　出处：《世界最新医学信息文摘》2016年A5期 　论文类型：期刊论文

【摘要】：目的探讨影响初产妇头位难产原因、临床表现以及临床处理策略。方法选择2015年1月到2016年3月收治的头位难产孕妇为观察组,以同期收治的150例顺产的产妇为对照组,回顾性分析观察组产度影响头位难产的因素以及两组产妇的临床表现。结果 (1)观察组头位难产相关因素分析。本次观察组初产妇引发头位难产的因素主要包括:胎头位置异常、原发性宫缩以及继发性宫缩三种因素。观察组中出现胎头位置异常的产妇数量最多,达到120例,占难产总数的80.00%。胎头位置异常有包括持续性枕后位、持续性枕横位以及高直为三种情况,其概率分别为48.00%、16.67%、15.53%。原发性宫缩引发头位难产20例,占13.33%,继发性宫缩引发头位难产10例,占6.67%;(2)两组临床表现对比。观察组与对照组临床表现存在较大差异,且观察组各种临床表现发生人数明显高于对照组,差异有统计学意义(P0.05)。结论诱发初产妇头位难产的因素多种多样,但以胎头位置异常为主,针对头位难产的情况,应尽快确认并采取针对性的临床处理对策,以保证母婴安全。
[Abstract]:Objective to investigate the causes, clinical manifestations and clinical management of cephalic dystocia in primipara. Methods from January 2015 to March 2016, pregnant women with dystocia in cephalic position were selected as observation group. 150 cases of parturient in the same period were treated as control group. The factors affecting cephalic dystocia in the observation group and the clinical manifestations of the two groups were analyzed retrospectively. Factors related to cephalic dystocia in the observation group. The main factors causing cephalic dystocia in this observation group included: abnormal position of fetal head. Primary uterine contraction and secondary uterine contraction. In the observation group, the number of abnormal position of fetal head was the highest (120 cases). The abnormal position of fetal head included three cases: persistent occipital posterior position, persistent occipital transverse position and high and straight position. The probability of abnormal position of fetal head was 48.00% and 16.67% respectively. 15.53. 20 cases (13.33%) had dystocia in the head position caused by primary uterine contraction, 10 cases (6.67%) were caused by secondary uterine contraction in the head position of dystocia; The clinical manifestations of the observation group and the control group were significantly different, and the number of clinical manifestations in the observation group was significantly higher than that in the control group. Conclusion the factors inducing dystocia in head position of primipara are various, but the abnormal position of fetal head is the main factor, aiming at the situation of dystocia in head position. Should confirm as soon as possible and adopt the targeted clinical treatment countermeasure, in order to guarantee the mother and child safety.
【作者单位】：广西南宁市武鸣区人民医院产科;
【分类号】：R714.4
【正文快照】： 0引言头位难产是妇产科中最为常见的分娩异常问题,近年来该症状的临床发病率呈现出明显上升的趋势[1]。头位难产是指孕妇在分娩胎儿过程中,胎儿的头部旋转发生阻碍或者衔接不良等情形,头位难产如出现在初产妇中,其处理难度往往较高[2]。基于此,文章通过临床试验探究了初产妇头

【相似文献】