148例胎儿脐带绕颈患者的临床分析

Clinical Analysis of Fetal Umbilical Cord Around Neck of 148 Cases

目的:探讨胎儿脐带绕颈患者的分娩情况。方法:分析我院2008年12月-2010年6月以来的脐带绕颈患者148例,分析脐带绕颈患者的病情以及围产期的处理方法,探讨处理脐带绕颈患者的最佳方法。结果:脐带绕颈患者的剖宫产率为50.68%,极显著高于正常无脐带绕颈的9.89%,两者统计分析差异极显著(P<0.01);同时,胎儿窒息以及胎儿窘迫的患者比例高达10.14%,也极显著高于正常无脐带绕颈的孕妇,两者统计分析差异极显著(P<0.01)。结论:脐带绕颈增加了孕妇剖宫产率、新生儿窒息数以及死胎率,对孕妇和胎儿均造成一定危害,因此,对于脐带绕颈病例应严格监控,尽量避免新生儿窒息以及死胎的发生。

Objective：To investigate the labor situation of patients with fetal umbilical cord around neck. Methods：in our hospital in December 2008 - June 2010 148 patients since the cord around the neck, analysis of umbilical cord around neck patient＇s condition and treatment of perinatal method to explore the best way to deal with patients with cord around neck. Results： umbilical cord around neck in patients with cesarean section rate was 50. 68%, significantly higher than normal without cord around the neck of 9.89% ,both significantly different statistical analysis （P〈0.01） ;the same time,fetal asphyxia and fetal distress patients as high as 10.14%, also significantly higher than normal pregnant women without nuehal cord, the two statistical analysis were significantly dif- ferent （P〈0.01）. Conclusion：The umbilical cord around neck increased the cesarean section rate of pregnant women, the number of neonatal asphyxia and stillbirth rate in pregnant women and fetuses are caused by certain hazards, therefore, for the cord around the neck cases should be strictly monitored to avoid the occurrence of neonatal asphyxia and stillbirth.