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目的探讨脐带绕颈对产妇产程、分娩方式及围生儿预后的影响。方法将2016年1~12月医院产科确诊为胎儿脐带绕颈的产妇60例作为观察组,选取同期60例胎儿脐带未绕颈的产妇60例作为对照组,比较2组产妇产程、分娩方式及围生儿预后情况。结果观察组产妇第一产程和第二产程时间均显著长于对照组(P<0.05);观察组产妇自然分娩率低于对照组(P<0.05),剖宫产率高于对照组(P<0.05);观察组正常胎儿率显著低于对照组(P<0.05)。结论脐带绕颈会造成产妇产程延长,剖宫产率增加,胎儿胎儿窘迫、新生儿窒息、死产风险增加,产前进行超声诊断是十分有必要的。
Objective To investigate the effect of umbilical cord around the neck on maternal labor, delivery mode and prognosis of infants. Methods 60 cases of fetuses with umbilical cord around the neck diagnosed from January 2006 to December 2006 in our hospital were selected as the observation group. Sixty cases of fetuses without umbilical cord around neck during the same period were selected as the control group. The duration of labor, Perinatal prognosis. Results The labor duration of the second stage of labor and the second stage of labor in the observation group were significantly longer than those in the control group (P <0.05). The rate of spontaneous delivery in the observation group was lower than that in the control group (P <0.05) 0.05). The normal fetus rate in observation group was significantly lower than that in control group (P <0.05). Conclusion Umbilical cord around the neck will lead to prolonged maternal labor, increased cesarean section rate, fetus fetal distress, neonatal asphyxia, increased risk of stillbirth, prenatal ultrasound diagnosis is very necessary.