胎儿脐带脱垂临床分析  

作　　者：李海燕 顾丽萍[2] 

机构地区：[1]江苏省张家港市中医医院,215600 [2]江苏省苏州市立医院,215000

出　　处：《浙江临床医学》2016年第9期1657-1658,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨脐带脱垂的高危因素、诊断方法、治疗方案及预防措施。方法回顾性分析2叭2年1月至2014年6月21例脐带脱垂患儿的临床资料。结果21例脐带脱垂患儿中剖宫产15例，新生儿窒息2例，死亡1例；经阴道分娩6例，新生儿窒息2例，死亡2例，其余新生儿正常。其中剖宫产分娩15例新生儿1分钟Apgar评分67分占13．3％，显著低于阴道助产33．3％（P〈O．05）；剖宫产分娩的新生儿存活率93．33％，明显高于阴道分娩66．7％（P〈O．05）。结论脐带脱垂重在预防宣教，注意产程观察，早期识别并正确处理，可有效降低围生儿病死率。Objective To investigate the risk factors of umbilical cord prolapse, treatment and prevention. Methods Retrospective analysis was made on the clinical data of Suzhou Municipal Hospital in January 2012 to June 2014 on 21 patients with umbilical cord prolapse. Results Of 21 cases of umbilical cord prolapse, in which 15 cases of caesarean section, 2 cases of neonatal asphyxia, 1 case of death; 6 cases of vaginal delivery, 2 eases of neonatal asphyxia, 2 cases of death, the rest were normal. The Caesarean birth of 15 cases of neonatal Apgar score less than or equal to 7 points accounted for 13.3% （ 2/15 ） was significantly lower than the rate in the vaginal delivery group 33.3% （ 2/6 ） （ P〈0.05 ） ; cesarean section delivery of neonatal survival rate of 93.33% （ 14/15 ） , significantly higher than the vaginal delivery 66.7% （ 4/6 ） （ P〈0.05 ） . Conclusion For Umbilical cord prolapse,focus should be placed on preventive education, attention should be paid to observe the production process;early diagnosis and timely treatment can effectively reduce the perinatal mortality.

关 键 词：脐带脱垂 高危因素 诊治 预防 

分 类 号：R714.434[医药卫生—妇产科学]