脐带脱垂的原因及紧急处理后的护理要点  

Causes of Umbilical Cord Prolapse and the Main Points of Nursing after Emergency Treatment

作　　者：韩洋 HAN Yang(The Second People's Hospital of Fuxin City(Gynecology and Obstetrics Hospital of Fuxin City),Fuxin 123000,China)

机构地区：[1]阜新市第二人民医院(阜新市妇产医院),辽宁阜新123000

出　　处：《中国医药指南》2021年第4期170-171,174,共3页Guide of China Medicine

摘　　要：目的分析导致患者出现脐带脱垂的原因,同时总结紧急处理后的护理要点。方法选择2019年4月至2020年6月到我院进行分娩的高危脐带脱垂的182例产妇作为本文研究对象,统计在我院进行分娩过程中脐带脱垂的发生率,并总结导致产妇出现脐带脱垂的原因,总结相关紧急处理以后的护理要点。结果本文182例高危脐带脱垂的产妇分娩过程当中出现脐带脱垂65例,发生率为35.71%;经过统计得出,胎位异常、胎头浮动、骨盆狭窄、头盆不称、低体质量儿、早产是导致出现脐带脱垂的单因素;进一步进行多因素Logistic回归分析可以得出,胎位异常、骨盆狭窄、低体质量儿、早产是导致产妇出现脐带脱垂的独立危险因素(P<0.05)。结论临床导致产妇出现脐带脱垂的因素众多,主要包括胎位异常、骨盆狭窄、低体质量儿、早产等,在进行紧急处理以后,需要配合有效的护理方法进行干预,可综合性提升分娩质量,降低围生儿的死亡概率。Objective To analyze the causes of patients with umbilical cord prolapse and to summarize the main points of care after emergency treatment.Methods One hundred and eighty-two cases of high-risk umbilical cord prolapse who came to our hospital for childbirth from April 2019 to June 2020 were selected as the research objects of this article.The incidence of umbilical cord prolapse during childbirth in our hospital was counted,and the resulting maternal the reasons for the occurrence of umbilical cord prolapse,summarize the key points of care after related emergency treatment.Results In the 182 high-risk umbilical cord prolapsed parturient,65 cases of umbilical cord prolapse occurred during delivery,with an incidence rate of 35.71%.According to statistics,abnormal fetal position,floating fetal head,pelvic stenosis,disproportionate head and pelvis,low birth weight infants,premature delivery was the single factor leading to umbilical cord prolapse;further multivariate Logistic regression analysis can conclude that abnormal fetal position,pelvic stenosis,low birth weight infants,and premature delivery were independent risk factors for umbilical cord prolapse(P<0.05).Conclusion There are many clinical factors that cause umbilical cord prolapse in parturient,mainly including abnormal fetal position,pelvic stenosis,low birth weight infants,premature birth,etc.After emergency treatment,effective nursing measures are needed to intervene,which can comprehensively improve the quality of delivery and reduce the probability of perinatal death.

关 键 词：脐带脱垂 紧急处理 胎位异常 骨盆狭窄 低体质量儿 

分 类 号：R473.71[医药卫生—护理学] R714.434[医药卫生—临床医学]