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目的探讨脐带先露及脐带脱垂与围生儿结局的关系。方法回顾性分析65例脐带先露及脐带脱垂的临床资料。结果脐带先露组剖宫产占80.49%(33/41),显著高于脐带脱垂组的54.17%(13/24)(P<0.05)。新生儿1minApgar评分脐带先露组与脐带脱垂组存在极显著差异(P<0.001),新生儿5min Apgar评分两组亦存在显著差异(P<0.05)。脐带先露组围生儿死亡率2.44%(1/41),明显低于脐带脱垂组20.83%(5/24)(P<0.05)。结论围生儿结局脐带先露组明显优于脐带脱垂组,早期诊断和干预脐带先露,防止脐带脱垂的发生,对改善围生儿结局有重要的作用。
Objective To investigate the relationship between umbilical cord exposure and umbilical cord prolapse and perinatal outcome. Methods A retrospective analysis of 65 cases of umbilical cord and umbilical cord prolapse clinical data. Results The rate of cesarean section in umbilical cord exposed group was 80.49% (33/41), significantly higher than that in umbilical cord prolapsed group (54.17%, 13/24) (P <0.05). Neonatal 1minApgar score showed significant difference (P <0.001) between umbilical cord prolapse group and umbilical cord prolapse group, and Apgar score of neonatal 5min also had significant difference (P <0.05). Perinatal mortality in umbilical cord exposed group was 2.44% (1/41), significantly lower than that in umbilical cord prolapse group (20.83%, 5/24) (P <0.05). Conclusion Perinatal infant umbilical cord prolapse group was significantly better than the umbilical cord prolapse group, early diagnosis and intervention umbilical cord exposure, to prevent the occurrence of umbilical cord prolapse, to improve perinatal outcome has an important role.