脐带绕颈产时胎心监护的临床分析

目的:探讨脐带绕颈时胎心监护异常的处理。方法:2008年1月～2010年12月收治266例脐带绕颈患者(观察组)和280例无脐带绕颈患者(对照组),对其两组患者的临床资料进行回顾性分析。结果:观察组胎儿窘迫率、阴道助产率、剖宫产率显著高于对照组(P<0.05)。两组患者羊水中、重度粪染的发生率、新生儿窒息率比较差异无显著性。结论:脐带绕颈产时胎心监护异常,通过适当处理,可降低新生儿窒息率。

Objective： To investigate the cord around the neck abnormal fetal heart rate monitoring during treatment. Methods：Retrospective analysis in January 2008 - December 2010 266 cases of umbilical cord around neck （observation group） and 280 patients without cord around the neck （control group） and clinical data. Results： The rate of fetal distress group ,vaginal delivery rate, cesarean section rate was significantly higher （ P 〈 0. 05 ）. Two amniotic fluid, severe incidence of meconium and neonatal asphyxia was no significant difference. Conclusion： The umbilical cord around neck abnormal intrapartum fetal heart rate monitoring, through appropriate treatment, can reduce the rate of neonatal asphyxia.