初产妇头位难产产程图曲线异常的原因及处理

【摘要】  目的 分析头位难产的初产妇其产程图对临床的指导意义。方法 从番禺区市桥医院妇产科2005年5月至2008年12月收治病例中抽取500例头位产进行了临床观察，并对异常产程曲线的主要原因及其处理分析。结果 500例产妇中有210例产程延长。产妇精神心理因素、骨盆大小、产力、胎头方位和胎儿体重的综合关系是引起产程曲线延长的主要原因，经及时处理后76例自然分娩，82例助产分娩(侧切加胎头吸引术)，52例剖宫产。结论 产程图为正确果断处理异常产程提供依据，从而减少产科并发症，降低滞产率和婴儿围产期发病率及死亡率。

【关键词】  初产妇;头位难产;产程图

Reasons and treatments of abnormal partogram in primipara’ dystocia of cephalic presentation

　　CHEN Xiao-yun， LIAO Yi-qing.Department of Gynecology and Obstetrics，Shiqiao Hospital of Panyu，Panyu 511400，China

　　[Abstract] Objective To investigate clinical significance of partogram when primipara was suffered from dystocia of cephalic presentation.Methods There were 500 cases of head birth who were selected at random and accepted clinical observation during one year in our department of gynecology and obstetrics.Reasons and treatments of abnormal partogram were analyzed.Results There were 210 cases whose birth process was prolonged in 500 cases.Psychological factor of primipara，size of pelvis，factor of labor，fetal

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