365例脐带绕颈临床回顾分析

目的探讨脐带绕颈对围生儿的影响。方法选择头位脐带绕颈365例进行回顾性分析：①分析脐带长度与脐带绕颈的关系;②比较脐带绕颈周数对围生儿影响。结果脐带过短组无一例发生脐带绕颈,脐带过长组的脐带绕颈发生率明显高于脐带正常组（p〈0.01）,脐带绕颈的胎儿窘迫率为23.01%,新生儿窒息率为7.67%。结论脐带绕颈与脐带长度有一定的关系,脐带过长是导致脐带绕颈的基本原因。脐带绕颈会明显增加胎儿窘迫、新生儿窒息及死亡的发生率。

Clinical analysis in 365 gases with umbilical cord entangl neck

Objective it is to discuss the effect of umbilical cord entangle neck on perinatal infant.Methods 365 clinical records were retrospectively analyzed the correlation of umbilical cord length and umbilical cord entangle neck, the effect of the circle number of umbilical cord entangle neck on perinatal infant .Results there wasn＇t umbilical cord entangle neck in short umbilical cord group, The rate of umbilical cord in longer group were significandy higer than in normal group （p〈0.01）.the incidence rate of fetal distress is 23.01% in umbilical cord entangle neck, and neonatal asphyxia is 7.67%. Conclusions umbilical cord entangle neck was related with umbilical cord length, umbilical cord in longer lead to umbilical cord entangle neck. umbilical cord entangle neck increased the incidence rate of fetal distress ,neonatal asphyxia and death.