目的 探讨体位指导对产程的影响。 方法 选择2007年1月-2008年1月产科住院的经特殊体位管理分娩的260例产妇，作为观察组；同期未予以体位指导的经阴道分娩的260例产妇作为对照组，产程中未作体位指导，一般以平卧为主。观察两组产程进展情况、胎儿宫内窘迫、剖宫产率等。 结果 观察组与对照组相比，第1产程及第2产程明显缩短，胎儿宫内窘迫、剖宫产率明显降低，有统计学意义（P＜0.05）。 结论 对孕妇实行体位管理能加快产程，避免各种产科并发症的发生，增加了阴道分娩率，减少了剖宫产率。
Pars plana vitrectomy (PPV) combined with intraocular tamponade surgery is one of the main surgical methods for treating retinal detachment. Due to the use of filling substances, patients need to maintain specific postures after the operation to promote retinal reattachment and reduce the occurrence of complications. Currently, during the process of performing postural management for such surgical patients, there are problems such as low compliance and insufficient monitoring and management. Clinical medical staff have actively explored ways to improve the quality of positioning management, but no corresponding norms and consensus have been formed. The standards implemented by different places are closely related to the degree of medical experience. The evaluation of the performance of the patient's position by the medical care mainly relies on the patient's self-report or the nurse's inspection record, which lacks continuity and accuracy. In the future, it is necessary to further promote the development and transformation of auxiliary tools, implement scientific monitoring and management of patients with the help of artificial intelligence, formulate individualized plans and dynamically adjust them according to the patient's condition, and ensure the effect and improve patient satisfaction.