摘要
目的探讨胎儿脐带绕颈分娩方式的选择。方法选择2008年1月～2010年12月我院头位脐带绕颈528例进行分析,比较不同分娩方式对围产儿的影响。结果选择性剖宫产组与阴道分娩组相比,新生儿窒息率最低,差异有显著性(P<0.05);脐带绕颈周数增加,剖宫产率增加,窒息率下降。结论脐带绕颈并不是剖宫产的指征,但脐带绕颈可给围产儿带来不良影响。应加强产程观察和胎心监护,根据产程进展情况采取适当的分娩方式,以降低新生儿窒息的发生,降低剖宫产率。
Objective：To discuss the delivery pattern election of nuchal cord. Methods：Chose the 528 examples of umbilical cord around neck from the begin of 2008 to the end of 2010 to analyze the effect of delivery pattern on perinatal infant. Results：Compared with vaginal delivery,the rate of neonatal asphyxia in elective cesarean section is the lowest with significant difference （P 0.05）. The rate of cesarean section augments with the increase of nuchal cord perimeter,the rate of asphyxiation decreases. Conclusion：The umbilical cord around neck certainly is not the indication of cesarean section,but the umbilical cord around neck may be harmful to perinatal infant. Observation of birth process and nonstress test are needed,according which,proper delivery pattern is selected to reduce occurring of neonatal asphyxia and the rate of cesarean section.
出处
《井冈山大学学报（自然科学版）》
2011年第3期121-123,共3页
Journal of Jinggangshan University (Natural Science)
关键词
脐带绕颈
分娩
围产儿
umbilical cord around neck
delivery
perinatal infant
