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目的:探讨脐带异常的产前监护价值及新生儿的结局。方法:随机选取2006年1月～2010年2月于该院终止妊娠后被确诊有脐带异常的200例孕妇为研究对象,回顾性分析其产前胎儿监护、脐动脉血S/D值检测结果及产后新生儿Apgar评分等情况。选取同期200例终止妊娠后未发现有脐带异常的孕妇为对照组。两组孕妇均无合并症及并发症,两组间孕妇年龄、孕周大小均有可比性(P>0.05)。结果:脐带异常者中,胎心监护≤7分者占33.5%,见到减速者27.5%,脐动脉S/D>3者11.5%,羊水混浊者30.0%,新生儿Apgar≤7分者7%胎儿生长受限(FGR)9.5%,围产儿死亡占0.5%。对照组胎心监护≤7分者15.0%,见到减速者13.0%,脐动脉S/D>3者3.0%,羊水混浊者11.0%,新生儿Apgar≤7分者4.0%,FGR 5.0%。两组间各项比较差异均有统计学意义(P<0.05)。结论:脐带异常可导致脐动脉血S/D值和胎心监护异常,对新生儿Apgar评分有一定影响。
Objective: To investigate the value of prenatal care for abnormal umbilical cord and neonatal outcomes. Methods: A total of 200 pregnant women diagnosed with umbilical cord abnormality after termination of pregnancy in our hospital from January 2006 to February 2010 were randomly selected as the research object. The results of prenatal fetal monitoring and umbilical arterial blood S / D were retrospectively analyzed And postpartum neonatal Apgar score and so on. Select the same period of 200 cases of termination of pregnancy was not found in pregnant women with umbilical cord abnormalities as a control group. There was no complications and complications between the two groups of pregnant women, the age and gestational age of both groups were comparable (P> 0.05). Results: Abnormal fetal heart rate ≤7 points accounted for 33.5%, 27.5% of those who saw deceleration, 11.5% of umbilical artery S / D> 3, 30.0% of amniotic fluid turbid, neonatal Apgar ≤ 7 points 7 % Fetal growth restriction (FGR) 9.5%, perinatal deaths accounted for 0.5%. In the control group, those with fetal heart rate ≤7 were 15.0%, those with deceleration 13.0%, umbilical artery S / D> 3.0%, amniotic fluid opacity 11.0%, neonatal Apgar≤7 were 4.0% and FGR 5.0%. The differences between the two groups were statistically significant (P <0.05). Conclusion: Umbilical cord abnormalities can lead to abnormal S / D values of fetal umbilical arterial blood and abnormal fetal heart rate monitoring, which may affect Apgar score.