脐带绕颈的分娩方式与新生儿窒息的临床分析

CLINICAL ANALYSIS OF DELIVERY WAY WITH CIRCULOR OF UMBILICAL CORD AND ASPHYXIA NEONATORUM

目的:探讨脐带绕颈的分娩方式与新生儿窒息的关系。方法:回顾性分析206例脐带绕颈病例的分娩方式、新生儿窒息及并发症的发生情况。结果:脐带绕颈仍以自然分娩占大多数,随着脐带绕颈周数增多,剖宫产术及阴道助产术比例增高,新生儿窒息发生率也增高。急诊剖宫产术者新生儿窒息和吸入性肺炎的发生率明显高于选择性剖宫产术者(P<0.01,P<0.05)。结论:脐带绕颈分娩方式仍以正常分娩多见,其次为剖宫产分娩;对于脐带绕颈2周及以上者,新生儿窒息发生率高,分娩方式宜选择剖宫产术。

Objective：To investigate the relationships between delivery ways with circulor of umbilical cord and asphyxia neonatorum.Methods：The delivery ways, the incidence of asphyxia neonatorum and complications of 260 circulor of umbilical cord cases were retrospectively analyzed.Results：Majority of circulor of umbilical cord cases were spontaneous delivery. Along with increasing of cycles of cord around neck,cesarean section and vagina obstetrics increased; also the incidence of asphyxia neonatorum increased. About emergent cesarean section,the incidence of asphyxia neonatorum and aspiration pneumonia were obviously higher than elective caesarean section （P 〈 0.01,P 〈 0.05）.Conclusions：The spontaneous delivery is still common in circulor of umbilical cord,and cesarean section is the second. The incidence of asphyxia neonatorum is fairly higher about circulor of umbilical cord cases that the umbilical cord circles more than 2 cycles,and the delivery way should choose cesarean section.