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目的:探讨在临产后行硬膜外分娩镇痛与活跃早期综合干预在纠正胎方位异常中的作用。方法:选择2011年1～7月住院、无硬脊膜外腔阻滞麻醉禁忌证、临产后B超提示为枕后位或枕横位的初产妇360例,随机分观察组和对照组各180例。观察组行分娩镇痛与早期综合干预;对照组按常规护理,当产程出现停滞才进一步检查和处理。结果:观察组顺产率显著高于对照组,第一、二产程平均时间明显短于对照组,差异均有统计学意义(P<0.05)。结论:临产后采取分娩镇痛及早期综合干预措施能有效纠正异常胎方位,减轻孕产妇的痛苦,缩短产程,提高阴道分娩率。
Objective: To explore the role of epidural analgesia and active early comprehensive intervention in correcting fetal position abnormalities after labor. Methods: From January to July 2011, hospitalized patients without contraindication of epidural anesthesia were contraindicated. 360 cases of primipara after cesarean section or occipital transverse position were suggested, which were randomly divided into observation group and control group 180 cases. The analgesia group and the early comprehensive intervention group were given routine labor care. The control group was given routine nursing care and was checked and treated when the labor process stopped. Results: The birth rate of the observation group was significantly higher than that of the control group. The average time of the first and second stage of labor was significantly shorter than that of the control group (P <0.05). Conclusion: The labor analgesia after labor and early comprehensive intervention can effectively correct the abnormal fetal position, relieve the pain of maternal, shorten the labor process and improve the vaginal delivery rate.