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目的:探讨脐带缠绕对分娩方式及围产儿的影响。方法:选择孕36~42周头位妊娠脐带缠绕807例作为观察组,随机抽取同期头位妊娠无脐带缠绕1000例作为对照组,对两组的临床资料进行回顾性分析,并比较分析缠绕周数对围产儿造成的影响。结果:观察组阴道助产、胎儿窘迫、新生儿窒息与对照组比较有统计学差异(P<0.05),而剖宫产率无明显增加。脐带缠绕周数越多,胎儿窘迫及新生儿窒息的发生率就越高,且缠绕两周及以上者较缠绕一周者有统计学差异(P<0.05)。结论:脐带缠绕是难产、胎儿窘迫、新生儿窒息的主要原因之一;加强产前、产时监护,适宜的产科处理是降低围产儿死亡的有效措施,对缠绕两周及以上者可选择剖宫产终止妊娠。
Objective: To investigate the effects of umbilical cord winding on the mode of delivery and perinatal children. Methods: Eighty-seven pregnant women with umbilical cord entanglement at 36-42 weeks were selected as the observation group. One hundred and five cases of umbilical cord wound in the first trimester of pregnancy were randomly selected as the control group. The clinical data of the two groups were retrospectively analyzed. Number of perinatal impact. Results: The vaginal delivery, fetal distress and neonatal asphyxia in the observation group were significantly different from those in the control group (P <0.05), but no significant increase in the cesarean section rate. The higher the number of umbilical cord entwines, the higher the incidence of fetal distress and neonatal asphyxia, and there was a significant difference (P <0.05) between the two weeks and above. Conclusion: Umbilical cord entanglement is one of the main causes of dystocia, fetal distress and neonatal asphyxia. Strengthening prenatal and obstetrical care and appropriate obstetric treatment are effective measures to reduce perinatal mortality. Palace termination of pregnancy.