阴道分娩第二产程中增强腹压方法的研究进展
Progress of Research on Strengthening Abdominal Pressure during the Second Stage of Labor
DOI: 10.12677/acm.2025.151226, PDF,   
作者: 周春涞：重庆医科大学第二临床学院，重庆；重庆医科大学附属第二医院产科，重庆；孙江川, 朱 轶*：重庆医科大学附属第二医院产科，重庆
关键词: 增强腹压；第二产程时间；分娩结局；Enhancing Abdominal Pressure； The Duration of the Second Stage； Delivery Outcomes
摘要: 研究表明，随着第二产程延长，母婴不良结局的风险增加。第二产程产力是影响第二产程时间的重要因素。第二产程产力根据力的来源可分为子宫收缩力、核心肌群产生的腹压以及肛提肌收缩力。腹压在第二产程产力中发挥着重要的作用，同时由于其相对较易于控制的特点，故而在临床实践中常作为一种加速分娩和提高自然分娩率的方式。随着研究的深入以及技术的进步，第二产程中增强腹压的方法得到了不断发展和应用，不同方法之间各有优缺点。本文总结了目前第二产程中增强腹压的方法及其效果，为寻找避免第二产程延长或适当缩短第二产程的最佳方法和进一步创新提供参考。
Abstract: According to reports from studies, the risk of maternal and neonatal adverse outcomes would rise along with prolonged second stage of labor. Labor of force, playing a significant role in the second stage of labor, is divided into three parts (including the force of uterine contraction, abdominal pressure by core muscle group and levator ani contraction) according to the source of force. Abdominal pressure is an important part of labor force in the second stage of labor and has the characteristic that could be controlled more easily, so it is often considered as a way to accelerate delivery and increase the rate of spontaneous delivery. With further researches and technological advance, approaches during the second stage of labor have been developed and applied gradually while every approach has its advantages and disadvantages. This review summerizes various approaches enhancing abdominal pressure in the second stage of labor and their function in practice, for further creation and finding the best method of avoiding prolonged second stage or shortening it appropriately.
文章引用：周春涞, 孙江川, 朱轶. 阴道分娩第二产程中增强腹压方法的研究进展[J]. 临床医学进展, 2025, 15(1): 1688-1694. https://doi.org/10.12677/acm.2025.151226

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