脐带缠绕对围产儿分娩方式及结局的影响  

Influence of umbilical cord entanglement on the childbirth way and results

作　　者：陈星尧 于舒[1] 

机构地区：[1]四川省攀枝花市中心医院妇产科,四川攀枝花617000

出　　处：《实用医院临床杂志》2007年第3期38-39,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨脐带缠绕对围产儿分娩及结局的影响。方法选择脐带缠绕266例进行回顾性分析,比较脐带缠绕对围产儿分娩及窒息、死胎、死产和新生儿死亡的影响。结果脐带缠绕顺产率低于无脐带缠绕,脐带缠绕胎儿宫内窘迫率为27.07%、窒息率为11.28%、剖宫产率为24.06%,均高于无脐带缠绕(P<0.01)。结论脐带缠绕周数越多,胎儿窘迫、死胎、新生儿窒息发生机率也越大;脐带过长是导致脐带缠绕的基本原因。Objective To discuss the influence of umbilical cord entanglement on childbirth and final results. Methods 266 cases of umbilical cord entanglement were included in this study. The influence of the umbilical cord entanglement on childbirth, asphyxia, dead fetus, dead birth and neonatal death was retrospectively reviewed. Results The normal childbirth rate was reduced by 20% in patients with umbilical cord entanglement as compared with those without umbilical cord entanglement. The incidence of intrauterine distress was 27.07%, asphyxia rate was 11.28%, and uterine-incision delivery rate was 24. 06 % in cord entanglement cases, all of which were higher than the non-cord entanglement cases （ P 〈 0. 01 ）. Conclusion The more circles of umbilical cord entanglement are, the higher incidence of fetal distress, fetal death, and neonatal asphyxia would be. Long cord is the main reason incurring umbilical cord entanglement.

关 键 词：脐带缠绕 国产儿 分娩 影响因素 

分 类 号：R714.43[医药卫生—妇产科学]