郭柳　孙晓慧　冯秋菊

[摘要]目的 探討气囊加力助产的徒手旋转胎头在经阴道分娩头位难产中的应用效果。方法 选择2015年6月～2016年7月于我院进行分娩的88例初产妇为研究对象，按照产妇入院时间将其分为对照组（上午入院，42例）和实验组（下午入院，46例）。对照组给予常规分娩护理，实验组给予气囊加力助产的徒手旋转胎头分娩护理。观察两组患者的分娩方式及产程、产道损伤、产后并发症等情况。结果 实验组患者剖宫产率低于对照组，第一、第二产程及总产程时间均短于对照组，差异有统计学意义（P<0.05）。两组第三产程时间比较，差异无统计学意义（P>0.05）。实验组的会阴切开、Ⅰ度会阴裂伤、Ⅱ度会阴裂伤分别占4.35%、17.39%、8.70%、6.52%，分别低于对照组的7.14%、38.10%、19.05%、16.67%，实验组产后并发症总发生率为30.43%，低于对照组的69.05%，差异有统计学意义（P<0.05）；实验组的新生儿窒息占2.17%，对照组占9.52%，差异有统计学意义（P<0.05）。结论 气囊加力助产的徒手旋转胎头在经阴道分娩头位难产中有利于减轻产妇痛苦，缩短产程，减少并发症的发生。

[关键词]气囊加力助产；阴道分娩；头位难产

[中图分类号] R719.6 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0163-03

[Abstract]Objective To explore the application effect of air-bag-forced midwifery unarmed fetal head in the vaginal delivery of dystocia.Methods From June 2015 to July 2016，88 cases of primiparous women in our hospital for delivery were selected as the study objects.According to maternal admission date，they were divided into control group （admitted to the morning，42 cases） and the experimental group （admitted to the afternoon，46 cases）.The control group was given routine childbirth care，the experimental group was given the air-bag-forced assisted hand rotten fetal head childbirth care.The mode of delivery and labor，birth canal injury，postpartum complications of patients in two groups were observed.Results The cesarean section rate of the experimental group was lower than that of the control group，the time of the first，second stage of labor and the total stage of labor in the experimental group was shorten than that in the control group，the differences were statistically significant （P<0.05）.There was no significant difference between the two groups in the third stage of labor（P>0.05）.The perineal incision，Ⅰ degree perineal laceration，Ⅱ degree perineal laceration of experimental group were accounted for 4.35%，17.39%，8.70% and 6.52%，respectively，which was lower than that of the control group （7.14%，38.10%，19.05% and 16.67%）.The total incidence of postpartum complications was 30.43% in the experimental group，which was lower than that in the control group，the difference was statistically significant （P<0.05）；the neonatal asphyxia of experimental group accounted for 2.17%，the control group accounted for 9.52%，the difference was statistically significant （P<0.05）.Conclusion Air-bag-forced midwifery rotating the fetal head in the dystocia of the head of vagina is helpful to reduce the maternal pain，shorten the labor and reduce the complication in the dystocia of vaginal delivery.endprint

[Key words]Air-bag-forced midwifery；Vaginal delivery；Head dystocia

近年来，我国剖宫产比例不断上升[1]，部分地区剖宫产比例高达70%～80%[2]，不利于优生优育的要求。约有90%的产妇为头位分娩[3]，其难产率达到所有难产者的2/3，威胁母婴安全[4]。临床上对其的处理主要为徒手旋转胎头，但其纠正有效率不到45%，且治疗效果有限。气囊加压助产术是一种新型的助产术，有助于减少分娩痛苦，提高顺产率[5]。现为了提高母婴分娩质量，将气囊加力助产的徒手旋转胎头护理运用于至我院生产的初产妇中，报道如下。

1资料与方法

1.1一般资料

选择2015年6月～2016年7月于我院进行分娩的88例初产妇为研究对象，按照产妇入院时间将其分为对照组（上午入院，42例）和实验组（下午入院，46例）。……