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目的针对枕后位难产患者,讨论实施徒手旋转胎头纠正的效果,为日后的临床治疗提供参考与指导。方法将我院收治的枕后位难产患者作为研究对象,所有患者的入选年份,均集中在2014年8月至2016年8月,枕后位难产患者总计18例。所有患者均实施徒手旋转胎头纠正干预,观察临床干预效果。结果在本次研究中,18例枕后位难产患者经过徒手旋转胎头纠正以后,纠正到枕前位患者为17例,成功率为94.4%。在18例患者当中,自然分娩患者为15例,占比83.3%;剖宫产3例,占比16.7%。自然分娩率高于剖宫产率,比较差异有统计学意义,P<0.05。结论枕后位难产是比较难处理的类型,通过开展徒手旋转胎头干预,能够最大限度的减少患者的病痛,帮助枕后位难产患者实现顺产。建议在今后的临床干预中,将徒手旋转胎头纠正的方法,进一步深入研究,并且在临床治疗中推广应用。
Objective To investigate the effect of manual correction of fetal head in patients with postpartum dystocia to provide reference and guidance for future clinical treatment. Methods The patients with post-occipital dystocia treated in our hospital were selected as the study subjects. All patients were selected from August 2014 to August 2016, with a total of 18 patients with post-occipital disability. All patients were hand rotation of the fetal head to correct the intervention, observe the effect of clinical intervention. Results In this study, 18 cases of epidural patients with dystocia after manual rotation of the fetal head corrected to correct the patients before the pillow for the 17 cases, the success rate was 94.4%. Of the 18 patients, 15 were delivered spontaneously, accounting for 83.3%; 3 were cesarean, accounting for 16.7%. The rate of spontaneous delivery was higher than that of cesarean section, the difference was statistically significant (P <0.05). Conclusion The post-occipital disability is a more difficult type of treatment. Through the hand-rotating fetal head intervention, it can minimize the patient’s pain and help the patients with post-occipital dystocia to achieve natural delivery. It is suggested that in the future clinical intervention, hand correction of fetal head rotation method, further in-depth study, and in the clinical treatment of the promotion and application.