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目的探讨活跃期产妇手指扩张宫颈加速产程进展的临床应用及效果。方法选取2013年1月至2014年10月广东省始兴县人民医院产科收治的活跃期产妇1200例为研究对象,按不同护理措施分为对照组和观察组,对照组600例采用常规护理,观察组600例采用手指扩张宫颈。比较两组产妇正常分娩率、活跃期时间、胎头下降速度、宫颈扩张速度、剖宫产率情况。结果观察组活跃期产妇正常分娩率高于对照组,活跃期时间较对照组短,胎头下降速度及宫颈扩张速度较对照组快,剖宫产率低于对照组,差异均有统计学意义(均P<0.05)。结论活跃期手指扩张宫颈可以降低剖宫产率,缩短活跃期时间。
Objective To investigate the clinical application and effect of active maternal finger dilation cervical accelerated labor progress. Methods One hundred and twenty-two active pregnant women admitted to Shixing People’s Hospital of Guangdong Province from January 2013 to October 2014 were selected as control subjects and observation groups according to different nursing measures. The control group of 600 cases were treated with routine nursing, The observation group 600 patients with fingers to expand the cervix. The two groups of normal delivery rate of maternal, active period, the rate of decline of fetal head, cervical dilation rate, cesarean section rate. Results In the observation group, the normal labor rate of active women was higher than that of the control group, and the active time was shorter than that of the control group. The declining rate of fetal head and cervical dilatation rate were faster than those of the control group, and the cesarean section rate was lower than that of the control group (All P <0.05). Conclusion Expansion of the cervix in the active period can reduce the cesarean section rate and shorten the active period.