王玉仁　杨玉皎　文　玲　周建良　周　娟湖南省株洲市妇幼保健院产科，湖南株洲　412000

臀高侧卧位纠正胎位异常的效果观察

王玉仁杨玉皎文玲周建良周娟
湖南省株洲市妇幼保健院产科，湖南株洲412000

目的探讨妊娠晚期简单实用、安全有效的异常胎位纠正方法。方法将2013年2月～2014年1月中在本院门诊进行产检，孕30～35周经B超确诊为单胎臀位或横位且无胎位异常纠正禁忌证的240例孕妇作为观察对象，按编号分组，单号120例孕妇采取臀高侧卧位作为观察组，双号120例孕妇采取传统膝胸卧位作为对照组，观察两组的胎位纠正成功数、纠正成功所需时间及孕妇舒适度。结果两组比较孕妇的胎位纠正成功数（χ2= 11.13，P＜0.01）、纠正成功所需时间（χ2=6.82，P＜0.05），差异均有统计学意义。结论臀高侧卧位具有纠正胎位异常成功率高、副作用少、简单实用、安全有效等优势，具有很好的临床应用推广价值。

妊娠晚期；臀高侧卧位；胎位异常；纠正胎位

［Abstract］Objective To discuss a convenient，practica1，safe and effective method for feta1 position correction in 1ate trimester of pregnancy.Methods 240 pregnant women during 30-35 weeks of gestation inspected in our hospita1 from February 2013 to January 2014 were se1ected，and they were diagnosed by B u1trasound as sing1e fetus with breech position or transverse position and without contraindication of feta1 position correction.The subjects were divided based on odd or even numbers into two groups.The 120 pregnant women with odd numbers were divided into observation group and were treated by high-breech 1atera1 position，whi1e the 120 pregnant women with even numbers were divided into contro1 group and were treated by conventiona1 knee-chest position.The successfu1 numbers of feta1 position correction，essentia1 time for successfu1 correction，and comfort degree of pregnant women were observed.Results There were significant differences in successfu1 numbers of feta1 position correction（χ2=11.13，P＜0.01）and essentia1 time for successfu1 correction（χ2=6.82，P＜0.05）.Conclusion High-breech 1atera1 position has high successfu1 rate in feta1 position correction with 1ow incidence of side effect and advantages of convenience，safety and effectiveness，thus is worthy to be promoted.

［Key words］Late trimester of pregnancy；High-breech 1atera1 position；Abnorma1 feta1 position；Feta1 position correction

1　资料与方法

1.1临床资料

2013年2月～2014年1月在本院门诊进行产检，孕30～35周经B超确诊为单胎臀位或横位且无胎位异常纠正禁忌证的孕妇有240例，按编号分组，单号120例孕妇采取臀高侧卧位作为观察组，双号120例孕妇采取传统膝胸卧位作为对照组。观察组年龄22～42岁，身高152～170 cm，体重50～80 kg，孕周30～34+6。对照组年龄20～40岁，身高154～172cm，体重50～75kg，孕周30～34+4。两组产妇的年龄、身高、体重、孕周等一般资料比较见表1。两组孕妇的孕次和产次比较差异无统计学意义（P＞0.05），具有可比性。

表1　两组孕妇一般情况比较（）

表1　两组孕妇一般情况比……