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目的:探讨两指旋转胎头方位异常的意义。方法:以该院2006年1月～2007年1月持续性枕横(后)位共212例为研究对象,随机分为两组,分别给予两指及传统徒手旋转法纠正胎方位。结果:两指旋转胎头方位106例中成功90例,106例徒手旋转中成功79例。两指法成功率明显高于徒手旋转法,两者相比具有统计学意义(P<0.05)。在产妇软产道损伤与新生儿情况等方面的比较中,两指法同样优于徒手旋转法。结论:两指旋转胎头方位异常较徒手旋转成功率高,易于操作,对母儿损伤小。
Objective: To explore the significance of two-pronged rotation fetal head orientation anomaly. Methods: A total of 212 consecutive patients with transthoracic vertebrae transverse (posterior) were selected from January 2006 to January 2007 in our hospital. The patients were divided into two groups at random. Two fingers and two conventional manual rotation methods were used to correct the fetal position. Results: 90 cases were successful in 106 cases of two-pronged rotation of fetal head and 79 cases were successful in 106 cases of hand rotation. The success rate of two fingering was significantly higher than that of hand rotation method, the two was statistically significant (P <0.05). In the maternal soft birth canal injury and neonatal comparison, the two finger method is also better than the hand rotation method. Conclusion: The abnormal rotation of the fetal head with two fingers is more successful than the rotation of the bare hand, which is easy to operate and less damaging to the mother and child.