脐带脱垂的危险因素及围产儿预后分析

发布时间：2018-02-04 20:16

  本文关键词： 脐带脱垂 危险因素 围产儿结局 预防　出处：《中华临床医师杂志(电子版)》2016年21期 　论文类型：期刊论文

【摘要】：目的探讨脐带脱垂的危险因素及围产儿的预后,以指导其处理和预防。方法回顾性比较分析2011年1月至2015年12月佛山市妇幼保健院发生的显性脐带脱垂和隐性脐带脱垂的临床资料。使用SPSS 21.0统计软件处理数据。结果近5年我院脐带脱垂总共发生44例,发生率为0.09%;其中显性脐带脱垂18例,发生率为0.037%;隐性脐带脱垂26例,发生率为0.054%;脐带脱垂中围产儿死亡6例,围产儿死亡率为13.6%。新生儿结局中,显性脐带脱垂组中新生儿窒息的发生率要高于隐性脐带脱垂组(36.8%vs.8.0%)(χ2=5.519,P=0.027)。影响脐带脱垂的因素中,经产妇的显性发生率(73.7%)要高于初产妇(26.3%)(χ2=4.940,P=0.035);定期产检的孕妇中脐带显性脱垂的发生率(31.6%)要低于缺乏产检的孕妇(68.4%)(χ2=8.628,P=0.005)。多因素Logistic回归分析结果显示,定期产检能够降低显性脐带脱垂的发生率(OR=0.098,95%CI=0.017~0.575)。结论显性脱垂的新生儿窒息率高于隐性脐带脱垂;经产妇发生显性脐带脱垂机会增加,定期产检能降低显性脐带脱垂的发生率。
[Abstract]:Objective to investigate the risk factors of umbilical cord prolapse and the prognosis of perinatal infants. Methods the clinical data of dominant and recessive umbilical cord prolapse from January 2011 to December 2015 in Foshan Maternal and Child Health Hospital were analyzed retrospectively. SPS was used. S. Results 44 cases of umbilical cord prolapse occurred in our hospital in recent 5 years. The incidence was 0.09. There were 18 cases of dominant umbilical cord prolapse, the incidence rate was 0.037%. Occult umbilical cord prolapse occurred in 26 cases (0.054%). There were 6 cases of perinatal death in umbilical cord prolapse, and the perinatal mortality was 13.6. in the neonatal outcome. The incidence of neonatal asphyxia in dominant umbilical cord prolapse group was higher than that in recessive umbilical cord prolapse group (36.8 vs 8.0) (蠂 2 = 5.519). Among the factors affecting umbilical cord prolapse, the dominant rate of menstrual women was 73.7%, which was higher than that of primipara women (蠂 2 = 4.940%, P < 0.035). The incidence of dominant prolapse of umbilical cord in pregnant women with regular birth examination was 31.6% (蠂 2 = 8.628), which was lower than that of pregnant women without birth examination (68.4%, 蠂 2 = 8.628). Multivariate Logistic regression analysis showed that regular birth examination could reduce the incidence of dominant umbilical cord prolapse (OR0.098). Conclusion the neonatal asphyxia rate of dominant prolapse is higher than that of recessive umbilical cord prolapse. The incidence of dominant umbilical cord prolapse can be reduced by regular birth examination.
【作者单位】： 广东省佛山市妇幼保健院产科;
【分类号】：R714.7
【正文快照】： 脐带脱垂是一种需要快速反应及处理的产科急症,通常需要紧急分娩,并伴随着很高围生儿发病率及死亡率。其分为显性脐带脱垂和隐性脐带脱垂。脐带位于胎先露一侧或者胎膜未破时脐带位于胎先露部前方,称为脐带先露或隐性脐带脱垂。胎膜破裂脐带脱出于宫颈口外,降至阴道内甚至露于，

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