91例脐带绕颈临床分析  

Clinical Analysis of 91 Cases of Umbilical Cord Entanglement

作　　者：朱秀琼[1] 李俊林[1] 

机构地区：[1]四川省科学城医院,四川绵阳621900

出　　处：《华西医学》2008年第2期260-261,共2页West China Medical Journal

摘　　要：目的:探讨脐带绕颈周数、长度对新生儿影响。方法:对91例脐带绕颈进行临床分析。结果:脐带绕颈周数与脐带长度有关,脐带绕颈与未绕颈的新生儿窒息率、羊水粪染率有显著差别,发生绕颈后脐带长度≤40 cm与脐带长度>40 cm的羊水粪染发生率和剖宫产率有显著差异。结论:脐带越长越容易发生多周绕颈,脐带越短,新生儿窒息率及剖宫产率越高。因此加强孕产期监护,适时终止妊娠,以降低新生儿窒息率。Objective：To study the influence of umbilical cord entanglement＇s cycles and length to infant.Methods：Ninety-one examples of umbilical cord entanglement were analyzed.Results：The cycle number of umbilical cord entanglement is connected with the length of umbilical cord.There is significant difference of the occurrence rates newborns with asphyxia and amniotic fluid excrement stain between umbilical cord entanglement and non-umbilical cord entanglement.After umbilical cord winded neck,there is significant difference of the occurrence rates amniotic fluid meconium stained and cesarean section delivery between the length ≤40 cm and the length 〉40 cm.Conclusion：More long the umbilical cord length,more easy taking umbilical cord entanglement.More short the umbilical cord length,more easy having newborns with asphyxia and cesarean section delivery.So,the antenatal care is reinforced during the pregnancy and pregnancy is ended in time to reduce the occurrence rate of newborns with asphyxia.

关 键 词：脐带绕颈 羊水粪染 新生儿窒息 剖宫产 

分 类 号：R714.2[医药卫生—妇产科学]