97patientswithheadandobstructivedystociaClinicalAnalysis-毕业论文翻译

1、97 patients with head and obstructivedystocia Clinical AnalysisAbstractObjective:Toinvestigatetheheadobstructivedystociaclinicalreasons,toprovideforreasonableandeffectivemeasurestodealwithamorereliable clinical reference methods: the period from March2009 to July 2010 sections97patientswithheadandob

2、structivedystociamaternalclinicaldatatobearetrospectiveanalysissummarizestheresults:thefirstabnormal factors accounting for 80.41% (78/97, abnormalmaternal birth canal is about 11.34% (11/97, the maternaluterineinertiaisabout5.15%(5/ 97,thegreatchildfactors accounted for about 3.09% (3/97) .78 cases

3、 of thefirst bitofabnormalobstructivedystociamaternalin41casesofpersistentoccipitaltransverseposition,approximately52.56%,32casesofpersistentocciputposterior position, Persistent occiput transverse cesareansectionrateisabout48.78%(20/41,approximately41.03%ofpersistentocciputposteriorcesareansectionr

4、ate is about 84.38% (27/32, the difference was significant ( P <0.05. Conclusion: Persistent occipital transverse, the1latter closely monitor the production process and the fetalhead reduction can lead to the first bit of obstructive dystocia, the main reason. timely rival obstructive dystoci

5、a make more accurate predictions.Keywords: head position, obstructive dystocia,clinical analysisCLC number: R714.4 Document code: BInrecentyearssincetheincidenceofclinicalcesarean section showing an increasing trend, the clinicalnaturalbirth ratehasdeclined,butinactualclinicaldeliveryprocess,the fir

6、st bit of obstructivedystociastillrelativelycommon1.departmentsintheperiodMarch2009 to July 2010 on the clinical information of 97 cases ofmaternalobstructivedystociainthefirstbittoberetrospectivelyanalyzedandsummarized,inordertoexplore the head obstructive dystocia clinical reasons forthe reasonabl

7、e and effective measures to deal with a morereliableclinicalreferencenowclinicalanalysissummaryreport is as follows.1MaterialsandMethods1.1GeneralInformationSelectedinMarch2009toJuly 2010,my2department97patientswithheadandobstructivedystocia maternal age of 21 to 34 years old, average age28.3 years,

8、gestationalage38 to42 weeks,71 cases ofprimiparous, 26 cases by the middle; 68 cases of natural childbirth, and about 70.10%, 29 cases of cesarean section, approximately 29.90%.1.2 MethodsAccordingto theclinicalstageof laborcurve2-3,thedesignatedheadof obstructivedystocia for the following aspects:

9、Palace expansionstagnation:Theactiveperiodoftheuteruswithinaspecified time dilation there is a big resistance, duration of more than two hours, symptomatic treatment two hours little effect. fetal head lower stagnation: The fetal head to reduce stagnation in certain parts of durationgreater than 2 h

10、ours, symptomatic treatment of two hours of little effect. The second stage of labor, delay:The cervix is​​fully expanded to two hours of the fetus still no delivery.31.3statisticalmethodsTheapplicationofstatisticalanalysisthesoftwareSPSS8.1 oninformationand data for statistical

11、analysis, count data to take the X²test,P<0.05wasconsideredstatisticallysignificant.2results2.197casesofmaternalheadobstructive dystocia related factors and mode of deliveryare shown in Table 1.Obstructive dystocia of the headbit of the 197 casesof maternal factorsassociatedwithmode

12、of delivery cases (%)Share the free papercanbedrawnthroughthe Table 1, the firstbitofobstructivedystociamaternalin97cases,78casesofmaternaldystociabecausefor the first bit of exception,about 80.41%;11abnormalcases ofmaternaldystociareasonforthebirthcanal,about11.34%,5casesofmaternaldystociacauses ut

13、erineinertia,about5.15%,three cases of mothers giving birth reasons for the great children, about 3.09%.Comparativeanalysisof headabnormalitiesin2.278casesofheadpositionabnormalobstructive4dystocia maternal and childbirthThefirstbitofabnormalobstructivedystociamaternalin78casesamong41casesofmaternal

14、persistentocciputtransverseposition,approximately52.56%, 32 cases of maternal persistent occiput posteriorposition was approximately 41.03%, five cases of maternalanthropometricabout6.41%.41casesofmaternalpersistentoccipitaltransverseposition,with25casesofcesareansection,approximately60.98%andmatern

15、alin32 cases of persistent occiput posterior position, with 27casesof cesareansection,approximately84.38%. lastingTheoccipitoafterthecesareansectionrate wassignificantly higher than the persistent transverse occipitalmaternal,twogroups thedifferencewas significantly(P<0.05, statistically sign

16、ificant.3 discussionWhich the clinical, the first bit ofobstructive dystocia still relatively high incidence 5 withthe clinicalcesareansectionismoreextensive,manymaternaltakencesareansectiondeliveries.NaturalchildbirthmaternalintheeventoftheRupen resistanceusually give up the productionprocessis rel

17、atively long5naturalchildbirth,totakea cesareansection,therebyleading to more obstetric health care workers for maternaldystociaespeciallyin thefirstobstructivedystociaunderstandingisnotdeepenough,butalso thecurrenthead obstructive dystocia is more limited clinical data, themain factor.The clinic, t

18、he head of obstructive dystocia andmorehead-firstexposeddystocia,usuallyaresultofmultipleclinicaldeliveryfactorsintheprocessofmaternity,thelackofsymmetrydue tocephalopelvicdisproportionincreasedresistance,whichfurthercontributedtothematernityreducedforceproduction,eventuallyleadingtotheoccurrenceofd

19、ystocia.actualclinicaldeliveryprocess,thefirstbitofobstructivedystociaiscausedbyfactorsfortheabnormalheadabnormalities,birthcanal,uterineinertia,greatchildren,etc., due to a variety of factors can lead to fetal head andmaternal pelvis uncoordinated or the presence of factorsof themechanicalobstructi

20、oncausedbyfetalheadcannotbenormalturn,theproductionprocesscancausecervical edema, the performance of, in addition, can also6lead to secondary uterine inertia, increasing the resistanceof the fetal pelvis delivery, and ultimately lead to the occurrence of obstructive dystocia.78casesofdystociareasonf

21、orthefirstbitabnormal,approximately80.41% ofclinicaldatainthisstudy,97 casesofheadpositionofobstructivedystociamaternal abnormalities, 11 cases of dystocia because thebirthcanal isabout11.34%, 5casesofdystociareasonuterineinertia,about5.15%,threecasesofdystociareason for great children, about 3.09%,

22、 the three factors ofabout 19.59% of the first bit of obstructive dystocia, whichcan be seen, the first bit of exception for maternal head obstructive dystocia relevant factors.The first bit of abnormal obstructive dystocia maternal persistent occipital transverse position of about52.56% (41/78, per

23、sistent occipito posterior position wasapproximately 41.03% (32/78, persistent occiput transverse cesarean section rate is about 48.78 % (20/41,the cesarean section rate is about 84.38% (27/32) of persistent occiput posterior, the difference was significant7(P <0.05. It can be seen, persisten

24、t occipital transverseposterior leading to the first bit of obstructive dystocia ofthemainreasonsleadingtothepersistentoccipitaltransverse posterior position of clinically relevant factor inthebirthcanal ofboneabnormalities,thefetalheadflexion poor, furtherextendingthediameterof thefetalhead through

25、 the birth canal, does not conducive to thefetal head position, eventually leading to dystocia.Thisarticlesummarizedbyaretrospectiveanalysis on 97 cases of head obstructive dystocia maternalclinicaldata,thefirstbitof exceptionto thefirstbitofobstructive dystocia related factors for maternal persistentoccipitaltransverse,thelatterledtothefirstbitofobstructionsexualdystociamainlyheadabnormalitiesfactors to closely monitor the production process and the fetal head to reduce head bit obstructive timely dystocia make mor