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目的 :探讨脐带绕颈对围生儿和产妇的不良影响。方法 :收集 10 5 2例脐带绕颈者的分娩史、出生史、产科诊断及其他有关资料 ,并以 5 0 0例同期住院分娩无脐带绕颈者作对照 ,分析脐带绕颈对产程、分娩方式和围生儿预后的影响。结果 :脐带绕颈组的第一产程与第二产程平均时间、剖宫产与阴道助产比例、脐带绕颈二周以上者胎儿窘迫与新生儿窒息发生率均显著高于对照组 (均 P<0 .0 1)。结论 :脐带绕颈可导致第一产程和第二产程延长 ,剖宫产和阴道助产比例增大 ,胎儿窘迫和新生儿窒息发生率增高。
Objective: To investigate the adverse effects of umbilical cord around the neck on the perinatal and maternal. Methods: The delivery history, birth history, obstetric diagnosis and other related data of 1052 cases of umbilical cord around the neck were collected. The control group of 500 cases of umbilical cord around the neck during hospitalization were analyzed. Way and the impact of perinatal prognosis. Results: The average length of labor in the umbilical cord around the neck during the second stage of labor, cesarean section and vaginal midwifery, fetal distress and neonatal asphyxia of the umbilical cord around the neck more than two weeks were significantly higher than those of the control group <0 .0 1). Conclusion: Umbilical cord around the neck can lead to the extension of the first stage of labor and the second stage of labor, cesarean section and vaginal delivery ratio increased, fetal distress and neonatal asphyxia increased incidence.