分析脐带脱垂的原因及紧急处理后的护理要点  

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

作　　者：杨忠霞 YANG Zhongxia(Liaoyang Third People's Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市第三人民医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第9期22-25,共4页Guide of China Medicine

摘　　要：目的 研究导致脐带脱垂出现的因素,同时分析紧急处理后的护理要点。方法 将2019年1月至2020年9月到我院进行分娩的具有高危脐带脱垂风险的203例产妇作为本文研究对象,统计分娩时脐带脱垂的发生率,根据产妇的实际情况总结脐带脱垂发生的原因,分析紧急处理后的护理要点。结果 (1)本文203例产妇分娩过程中发生脐带脱垂72例,发生率为35.47%。(2)导致产妇出现脐带脱垂的单因素是胎位异常、胎头浮动、骨盆狭窄、头盆不称、低体质量儿、早产等,差异存在统计学意义(P<0.05)。(3)导致产妇出现脐带脱垂的独立危险因素是胎位异常、骨盆狭窄、低体质量儿、早产,差异有统计学意义(P<0.05)。结论 临床导致产妇出现脐带脱垂的原因表现众多,经本文统计主要原因表现为盆骨狭窄、胎位异常、低体质量儿、早产因素等。根据相关因素进行紧急的处理,配合合理有效的护理,可以在一定程度上将质量提高,是降低围生儿死亡的可靠措施,建议临床根据母婴的实际情况,灵活性的选择相关方法进行指导。Objective To study the factors that lead to umbilical cord prolapse and analyze the main points of nursing after emergency treatment.Methods Two hundred and three parturients with high risk of umbilical cord prolapse who came to our hospital for delivery from January 2019 to September 2020 were selected as the research objects of this article. The incidence of umbilical cord prolapse during childbirth was counted, and the umbilical cord prolapse was summarized according to the actual situation of the parturient. Analyze the main points of nursing after emergency treatment.Results(1) 72 cases of umbilical cord prolapse occurred in the 203 cases of parturients in this article, the incidence rate was 35.47%.(2) The single factors leading to umbilical cord prolapse in parturients were: abnormal fetal position, floating fetal head, pelvic stenosis, disproportionate cephalopelvic,low Weight infants, premature birth, etc., the difference is statistically significant(P<0.05).(3) The independent risk factors that lead to maternal umbilical cord prolapse are: abnormal fetal position, pelvic stenosis, low birth weight infants, and premature delivery. The difference is statistically significant(P<0.05). Conclusion There are many clinical reasons for umbilical cord prolapse in puerperae. According to the statistics of this paper, the main manifestations are pelvic stenosis, abnormal fetal position, low-weight infants, premature birth and so on. Emergency treatment according to relevant factors, combined with reasonable and efiective nursing, can improve the quality to a certain extent, and is a reliable measure to reduce perinatal death.

关 键 词：脐带脱垂 胎位异常 骨盆狭窄 紧急处理 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]