摘要
本文对脐带绕颈203例进行临床分析,发生率32.74%。203例中,头位初产180例,发生产程异常85例,占45.22%;大于对照组32.08%(P<0.01)。180例中,剖宫产43例,阴道助产26例,难产率38.33%;高于对照组28.75%(P<0.05).203例中新生儿窒息45例,占22.17%;对照组14.17%(P<0.05).围产儿死亡3例,发生率14.78‰。本资料表明,脐带绕颈与脐带长度有关,并能使宫缩乏力,产程延长或停滞,手术产率增加。产前B超探测,产时胎心电子监护及严密观察产程,可在产前作出诊断。积极正确处理产程,可以大大降低剖宫产率,有效地减少新生儿窒息及围产儿死亡。
There were 620 Childbirth in Our hospital from Jan . to Dec. 1992, in which 203 cases were umbilical cord around the fetal neck, the incidence rate was 32.74%, In the 203 cases. 180 cases were cephalic primipar ities, 85 cases got abnormal stages of labour, the incidence rate was 47.22% and 32.08% in the control group(P<0.01). In the 180 cases, 43 cases had cesarean sections; 26 cases hadvagino-operation delivery, the dystocia rate was 38.33% and 28.7396 for the control group (P<0.05). In the 203 cases group, 45 cases were newborn asphyxia, , the rate was 22.17% and 14.17% for the control group (P<0.05) and 3 cases were perinatal deaths, theincidence rate was 14.78‰. the date shows that the umbilical cordaround the fetal neck has relation to the length of umbilical cords and it can make the uterus systoled and weary and it can prolong or even stagnate the stages of labour and then the operative labour rate is increased. The case of umbilical cord around the fetal neck, the newborn asphyxia and perinatal death can be diagnosed by prenatal the B-mode scanning, the electronic monitoring of the fetal heart duiring the labour, and close observation of the stages of labour. The cesarean section rate can be greatly decreased by active and correct treatment of the stages of labour.
出处
《湖北民族学院学报(医学版)》
1994年第1期26-30,共5页
Journal of Hubei Minzu University(Medical Edition)
关键词
脐带绕颈
难产
新生儿窒息
Umbilical cord around fetal neck Abnormal labour Newborn asphyxia