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产时超声监测对分娩结局的影响研究

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目的 探究阴道触诊与产时超声监测对分娩结局的影响.方法 选取2021年12月至2022年11月在南浔区人民医院住院分娩的200例单胎足月孕妇作为研究对象.采用随机数字表法将其分为A组和B组,各100例.B组进行阴道触诊,A组进行经腹部联合经会阴超声.比较两组的检查次数、破膜总时间、平均产程时间、钳产率、顺产率、剖宫产率、宫腔操作率、宫颈前后唇距离、胎方位符合率,比较两组的数字疼痛评分法(NRS)评分,比较两组不良事件发生情况.结果 A组检查次数、剖宫产率显著低于B组,A组胎方位符合率显著高于B组,A组NRS评分显著低于B组,A组不良事件总发生率显著低于B组,差异均具有统计学意义(P<0.05).结论 孕妇采取经腹部联合经会阴超声进行检测,能够有效提高检测质量,减少孕妇检查次数及疼痛评分,降低不良事件的发生风险.
Study of influence of intrapartum ultrasound monitoring on delivery outcomes
Objective To explore the influence of vaginal palpation and intrapartum ultrasound monitoring on the delivery outcomes.Methods A total of 200 full-term single pregnant women delivered in Nanxun District People's Hospital from December 2021 to November 2022 were selected as the research objects.They were divided into group A and group B with 100 cases each by random number table method.Among them,group B received vaginal palpation,while group A received transabdominal combined transperineal ultrasound.The number of examinations,the total time of membrane rupture,the average time of labor,the rate of forceps,the rate of spontaneous labor,the rate of cesarean section,the rate of uterine cavity operation,the distance between the front and back lips of the cervix,and the coincidence rate of fetal orientation were compared between the two groups.Numeric rating scales(NRS)scores and adverse events were compared between two groups.Results The number of examinations and the rate of cesarean section in group A were significantly lower than those in group B,the coincidence rate of fetal orientation in group A was significantly higher than that in group B,the NRS score in group A was significantly lower than that in group B,and the total incidence of adverse events in group A was significantly lower than that in group B,with statistical significance(P<0.05).Conclusions The combination of transabdominal and transperineal ultrasound in pregnant women can effectively improve the quality of detection,reduce the number of maternal examinations and pain scores,and reduce the risk of adverse events.

Intrapartum ultrasoundVaginal palpationDelivery outcomeNumeric rating scalesTransfer to cesarean sectionVaginal delivery

朱学英、陆方英、张秋鸿

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南浔区人民医院产科,浙江湖州 313009

产时超声 阴道触诊 分娩结局 数字疼痛评分法 中转剖宫产 阴道分娩

湖州市公益性应用研究-医卫一般项目

2021GY09

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(1)
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