中国实用妇科与产科杂志

• 论著 • 上一篇    下一篇

产程三维导航系统在产程研究及规范产程管理中的应用价值

石琪1,2,朱文平1,漆洪波1   

  1. 作者单位:1. 重庆医科大学附属第一医院妇产科,重庆 400016;2. 川北医学院附属医院妇产科,四川 南充637000
  • 出版日期:2015-02-02 发布日期:2015-01-22

Applications of Laborpro system to the research and management of labor.

SHI Qi1,2, ZHU Wen-ping1, QI Hong-bo1.   

  1. 1the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China;2the Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
  • Online:2015-02-02 Published:2015-01-22

摘要:

目的 探讨产程三维导航系统在产程研究及产程规范管理中的应用价值。方法 对2013年7-9月于重庆医科大学附属第一医院产科分娩的36例头位、单胎临产孕妇,应用产程三维导航系统测量其部分骨盆径线的肛查测量值和阴道检查测量值配对研究,测量宫口扩张及胎先露下降情况与助产士的人测值配对研究,分别完成了72对及69对测量,机测值对测量者保持盲法。结果 骨盆出口前后径阴查测量值短于肛查测量值1 cm;机测胎先露位置高于人测位置,机测宫颈扩张值大于人测值,高年资助产士的符合度高于低年资助产士。结论 应用产程三维导航仪,有助于深入研究产程,准确评估内骨盆径线及产房规范化培训、管理。

关键词: 宫颈扩张, 产程三维导航系统, 产程, 骨盆内测量, 阴道检查

Abstract:

Abstract: Objective To investigate the application of the Laborpro system to the research and management of labor. Methods The prospective study was designed and 36 singleton term, vertex pregnancies were recruited. The Laborpro system was used to conduct internal pelvimetry, and the data were collected by vaginal examination (VE) vs. anal examination (AE). The system calculations of dilation of cervix and fetal head station were compared with routine vaginal examination measurements. The measurers were blinded to the system results, and 72 and 69 measurements were involved respectively.Results The anteroposterior diameter of pelvic outlet by AE was longer than that by VE about 1 cm. The system result of cervical dilatation was bigger than manual result, and the station of fetal head was higher. The accuracy of assessment of labor progress by senior midwives was better than that by junior midwives:(79.59% vs. 53.85%)and(76.27% vs. 53.84%).Conclusion Laborpro system offers and advanced technique to measure pelvic, monitor and study labor. The standard guideline of midwife training should be built by using this system appropriately.

Key words: cervical dilatation, Laborpro system, labor progress, internal pelvimetry, vaginal examination

中图分类号: