脐带绕颈胎儿脐动脉血气变化的研究  

Study on the Changes in the Blood-gas Analysis of the Fetus with Umbilical Cord around Neck

作　　者：乔福元[1] 丁霞[1] 鲁秋云[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院妇产科,武汉430030

出　　处：《同济医科大学学报》2001年第6期586-587,共2页Acta Universitatis Medicinae Tongji

摘　　要：为了了解脐带绕颈胎儿脐动脉血气变化 ,选取 2 2 8例孕 37～ 42周孕妇 ,脐带绕颈组 16 7例 (按绕颈松紧程度分组 ) ,对照组 6 1例 ,产后均行脐动脉血气分析。结果发现 :脐带绕颈较紧组有 2 5例发生酸中毒 ,与对照组有显著性差异 (P<0 .0 5 ) ;其中混合性酸中毒占 6 6 % ,代谢性酸中毒占 8%。提示 :脐带绕颈较紧胎儿酸中毒的发生率较高 。In order to investigate the changes in the blood gas of the fetus with umbilical cord around neck (UCAN), 228 pregnant women with the gestational weeks ranging from 37 to 42 were divided into UCAN group ( n =167) and control group ( n =61). The umbilical arterial blood gas was analyzed after delivery. Results showed that 22 fetuses with tightly cord entangled (TCE) had acid emia (mixed acidemia 66 %,metabolic acidemia 8 %), which were statistically significantly different from those in the control group ( P <0.05). It was suggested that the rate of acidemia, mainly mixed and metabolic acidemia, in the UCAN fetuses with TCE was higher.

关 键 词：脐带绕颈 血气分析 脐动脉 胎儿 

分 类 号：R714.56[医药卫生—妇产科学]