脐带缠绕胎儿260例临床分析

目的:探讨脐带绕颈在分娩中的风险性和并发症,及如何权衡利弊选择最佳分娩方式以最大可能保障母婴安全。方法:2006年1月～2008年12月我医院住院分娩产妇共5547例,比较产后和剖宫产术后260例证实为脐带绕颈和260例无脐带绕颈的正常足月妊娠妇女围产儿监护情况及围产儿结局。结果:缠绕组胎儿窘迫发生率明显高于对照组,发病风险随缠绕周数的增加而增加。新生儿窒息率明显增高;缠绕组急诊剖宫产率明显增高,死亡率无显著差异。结论:脐带绕颈患者产时风险性显著增加,加强产前产时胎儿监护十分重要。必要时应放宽剖宫产手术指证。

Objective：To explore the cord around the neck in the delivery of the risks and complications,and how trade-offs to select the best delivery method to the greatest possible protection of mother and child safety.Methods：January 2006～January 2009 I was hospitalized a total of 5547 cases of maternal childbirth,postpartum and cesarean section compared 260 cases of confirmed 260 cases of nuchal cord and no cord around the neck of the normal full-term pregnant women,perinatal monitoring the situation and perinatal outcome.Results：The incidence of fetal distress winding group significantly higher risk of winding number of weeks with the increase.Significantly higher rate of neonatal asphyxia;wrapped in emergency cesarean section rate increased significantly No significant difference in mortality.Conclusion：The umbilical cord around neck when the patient produced a significant increase in risk,strengthening antenatal intrapartum fetal monitoring is important.Necessary,testify to relax the cesarean section.