脐带绕颈围生儿预后及分娩方式的临床研究

Study the effect of nuchal cord on perinatal infants and delivery methods

目的:探讨脐带绕颈经阴道分娩的可行性。方法:选取94例经阴道试产的脐带绕颈孕妇作为研究组,产程中加强监护,回顾性分析不同分娩方式对围生儿的影响,不同绕颈周数对围生儿及分娩方式的影响;同时选择因脐带绕颈择期剖宫产的70例作为对照组,并进行比较。结果:观察组77.66%自然分娩,8.51%阴道手术产,13.83%剖宫产;胎儿窘迫发生率为27.66%,新生儿窒息率为5.32%,与对照组比较差异无统计学意义(P>0.05)。结论:在严密产程监护下脐带绕颈可经阴道试产、分娩。

Objective To discuss the feasibility of vaginal delivery of women with nuchal cord. Methods Clinical data of 94 cases trying to deliver naturally with nuchal cord were analyzed retrospectively, To compare the effect of different delivery methods on perinatal infants, and effect of the number of cord entangling neck on perinatal infants and delivery methods. During the same period 70 cases with nuchal cord who chose cesarean section were selected as control group. Results The rate of natural delivery of study group was 77.66%, vaginal-operation for delivery was 8.51%, and that of cesarean section was 13. 83%. The fetal distress rate of study group was 27.66% , the neonatal asphyxia rate was 5.32%. There were no significant differences between the two groups （ P〉0.05） . Conclusion The women with nuchal cord should try to deliver naturally under the strictly monitoring.