脐带过短与母儿结局的临床分析  

Relationship Between Short Umbilical Cord Length and Maternal and Perinatal Outcomes

作　　者：陈溶鑫 CHEN Rongxin(Department of Obstetrics, Fujian Provincial Maternity and Children Hospital, Fuzhou Fujian 350001, China)

机构地区：[1]福建省妇幼保健院产科,福建福州350001

出　　处：《中国卫生标准管理》2017年第21期39-41,共3页China Health Standard Management

基　　金：福建省2014年临床重点专科(西医类别)建设项目(闽卫医政函[2015]593号)

摘　　要：目的探讨脐带过短对母儿结局的影响。方法回顾性分析2016年1月—2017年1月在福建省妇幼保健院产科分娩的848例单胎活产孕妇临床资料,根据脐带长度分为4组:脐带长度<第5百分位数为组1(脐带过短组);≥第5百分位数,<第10百分位数为组2;≥第10百分位数,≤第25百分位数为组3;>第25百分位数,≤第75百分位数为组4(对照组)。采取单因素方差分析、χ2检验分析脐带过短对母儿的影响。结果女胎脐带较男胎短,早产儿脐带较足月儿短。脐带过短组妊娠期高血压疾病、胎儿生长受限、羊水过少的发生率,剖宫产率,脐带绕颈、脐带扭转发生率,NICU入住率均高于对照组。结论脐带过短增加了剖宫产率及母儿不良结局的发生。孕晚期、产程中应加强胎心监护。Objective To analyze how short umbilical cord length relates to maternal and perinatal outcome.Methods848cases of single birth pregnancy in obstetrics and gynecology in Fujian Provincial Maternity and Children Hospital from January2016to January2017were analyzed,according to the length of the umbilical cord,were categorized into four groups:less than the5th percentile,from the5th percentile to less than the10th percentile,from the10th percentile to less than25th percentile,and from the25th percentile to less than75th percentile,which constituted the control group.The single factor analysis of variance andχ2test were used to analyze the effect of too short umbilical cord on the mother and fetus.Results Female gender,preterm delivery were associated with shorter cord lengths.The incidence of hypertensive disorders in pregnancy,fetal growth restriction,oligohydramnios,cesarean delivery,nuchal cords,torsion of cord and NICU admission were significantly higher in short cords as compared to control group.Conclusion This study shows that shorter cord was associated with higher risk of adverse pregnancy outcomes and cesarean delivery.Additional fetal heart rate monitoring was required during the last phase of pregnancy and labor.

关 键 词：脐带过短 母儿结局 临床分析 

分 类 号：R714[医药卫生—妇产科学]