脐带异常的临床研究

Clinical analysis of 689 cases of abnormalities of umbilical cord

目的探讨脐带异常对产妇及围产儿的影响。方法对689例足月妊娠合并脐带异常分娩者与同期足月妊娠分娩组进行对照分析。结果脐带异常组胎儿窘迫、新生儿窒息的发生率比同期对照组高,P<0.01,差异有显著性。结论加强产时监护,B超连续追踪,第一产程及时处理是降低围产儿死亡率的关键。

Objective To investigate the impact of abnormality of umbilical cord on pregnant women and perinatal infants. Methods We observed 689 cases of term pregnant women associated with abnormalities of umbilical cord （study group）, These patients underwent spontaneous delivery（476 cases）, operation birth through vagina （17 cases）, cesarean section （196 cases）respectively. They were compared with those normal term prcgnant women in control group at samc time, Results The prevalances of fetal distress and neonatal asphyxia in study group were significantly higher than those in control group（ P 〈 0.01 ）, Conculsion Strengthening clcctronic monitoring during the stages of labor, conducting consecutive uhrasonography and dealing with the first stage of labor in timc arc chief measures to decrease perinatal mortality.