脐带扭转孕妇的妊娠结局分析  

Analysis of Pregnancy Outcomes in Pregnant Women with Umbilical Cord Torsion

作　　者：郭玲[1] Guo Ling(Jiangxi Province Maternal and Child Health Care Hospital,330000)

机构地区：[1]江西省妇幼保健院,江西南昌330000

出　　处：《黑龙江医药》2024年第4期758-760,共3页Heilongjiang Medicine journal

基　　金：江西省卫生健康委科技计划(编号:202130801)。

摘　　要：目的:回顾性分析脐带扭转孕妇的妊娠结局,探究改善脐带扭转孕妇妊娠结局的方法。方法:于2021年1月至2022年12月收治200例在我院建档立卡的孕妇,将孕妇分为2组,观察组和对照组,对于胎心监护不满意的二类图形组作为观察组,对于胎心监护一类图形作为对照组,比较2组脐带平均扭转周数、平均脐动脉血流S/D值、妊娠结局、围产儿结局。结果:观察组脐带平均扭转周数为(15.88±0.25)周,平均脐动脉血流S/D值为(3.52±0.23),高于对照组的(10.24±0.12)周、(2.23±0.11),数据有统计学差异(P<0.05)。观察组阴道分娩率为11.0%,低于对照组的68.0%,剖宫产率为71.0%,高于对照组的12.0%(P<0.05),两组阴道助产率无统计学差异(P>0.05)。观察组围产儿并发症发生率为37.0%,明显高于对照组的8%,数据有差异(P<0.05)。结论:脐带扭转孕妇发生剖宫产以及不良妊娠结局的可能性更高,临床需采取多种手段预防因脐带扭转导致的不良事件。Objective:To retrospectively analyze the pregnancy outcomes of pregnant women with umbilical cord torsion and explore the methods to improve the pregnancy outcomes in umbilical cord torsion.Methods:January 2021 to December 2022 cases of 200 in our tent pregnant women,pregnant women are divided into 2 groups,observation group and control group,for the fetal heart monitoring unsatisfactory 2 graph group as observation group,for fetal heart monitoring a graph as a control group,compare the average group of umbilical cord torsion weeks,average umbilical artery blood flow S/D value,pregnancy outcome and perinatal outcomes.Results:The mean number of torsion in the observed group was(15.88±0.25)weeks,and the mean umbilical artery flow S/D value was(3.52±0.23),higher than the control group(10.24±0.12)weeks,(2.23±0.11),and the data were statistically different(P<0.05).The vaginal delivery rate in the observation group was 11.0%,lower than 68.0%in the control group,and the cesarean section rate was 71.0%,higher than 12.0%in the control group(P<0.05).There was no statistical difference in the vaginal delivery rate between the two groups(P>0.05).The incidence of perinatal complications in the observation group was 37.0%,obvious Higher than the 8%in the control group,the data were different(P<0.05).Conclusion:The are have have cesarean section and adverse pregnancy outcomes,and various measures are needed to prevent adverse events caused by umbilical cord torsion.

关 键 词：脐带扭转 胎心监护 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]