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500例脐带绕颈的临床分析

Clinical analysis about different delivery pattern of cord entanglement
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摘要 目的 :探讨脐带绕颈对产程的影响及脐带绕颈胎儿分娩方式不同对围产儿的影响。方法 :对我院 10 0 0例分娩产妇 (脐绕组 5 0 0例 ,对照组 5 0 0例 )的分娩资料进行回顾性分析。结果 :脐绕组与对照组的第一产程及第二产程平均时间差异有显著性 ;脐带绕颈胎儿剖宫产与自娩的胎儿宫内窘迫率及新生儿重度窒息率差异无显著性。新生儿轻度窒息率差异有显著性。结论 :脐带绕颈可致产程延长 ;但脐带绕颈胎儿不同的分娩方式对围产儿结局无明显影响 ,脐带绕颈不是剖宫产的绝对指征。 Objective: To determine the influence of cord entanglement on perinatal outcome and stage. Methods: 1000 cases of pregnant women delivered in our hospital from January 1998 to June 1999 were retrospectively analysed. 500 cases of pregnancies with cord entanglement were as the studied group and 500 cases of normal pregnancies as control group. Results: Compared with the control group,hours of the first stage and the second stage labor were significantly longer in the studied group. Compared with the prevalence of fetal distress and neonatal severe asphyxia, there were no significant difference in different delivery pattern of cord entanglement. Conclusion: Maternal complications and perinatal morbidity were higher in pregnancies with cord entanglement. Cesarean section does not need to be done just because of cord entanglement.
出处 《新疆医科大学学报》 CAS 2000年第4期318-319,共2页 Journal of Xinjiang Medical University
基金 1999年新疆医科大学第一附属医院硕士启动基金! ( 99-YFY-10 )
关键词 脐带绕颈 产程 分娩方式 围产儿 cord entanglement stage delivery pattern perinatal outcome
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