脐带缠绕的临床分析

发布时间：2018-08-26 18:59

【摘要】：目的观察足月妊娠脐带缠绕在产程中引起胎儿窘迫、新生儿窒息、围生儿死亡的发生率,选择合适的分娩方式。方法选择528例脐带缠绕的孕妇作为观察组,同期分娩的981例无脐带缠绕的孕妇作为对照组,比较2组孕妇新生儿窒息、围生儿死亡的发生率,脐带缠绕周数与新生儿窒息的关系以及孕妇的分娩方式。结果观察组胎儿窘迫的发生率为47.35%,高于对照组的21.10%,2组比较差异显著;新生儿窒息及围生儿病死率观察组为16.28%和1.89%,而对照组为8.97%和0.41%,2组比较差异有显著性;观察组正常分娩率为54.55%,对照组正常分娩率为83.38%(P0.01)。结论脐带缠绕使胎儿窘迫、新生儿窒息、围生儿死亡的危险性增加,使阴道正常分娩率降低,剖宫产率增加。
[Abstract]:Objective to observe the incidence of fetal distress, neonatal asphyxia and perinatal death caused by umbilical cord winding in term pregnancy. Methods 528 pregnant women with umbilical cord winding were selected as observation group and 981 pregnant women without umbilical cord winding as control group. The incidence of neonatal asphyxia and perinatal death was compared between the two groups. Relationship between umbilical cord winding weeks and neonatal asphyxia and delivery patterns of pregnant women. Results the incidence of fetal distress in the observation group was 47.35, which was significantly higher than that in the control group (21.1010), the neonatal asphyxia and perinatal mortality were 16.28% and 1.89% in the observation group, and 8.97% and 0.41% in the control group. The normal delivery rate was 54.55% in the observation group and 83.38% in the control group (P0.01). Conclusion umbilical cord winding can cause fetal distress, neonatal asphyxia and perinatal death, decrease the rate of normal vaginal delivery and increase the rate of cesarean section.
【作者单位】：临县妇幼保健院;
【分类号】：R714.7

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