脐带异常对围产儿的影响

目的 :分析脐带异常对围产儿影响 ,采取措施 ,降低围产儿窒息率和死亡率。方法 :采用统计学分析 193例脐带异常组与 674例无脐带异常组对围产儿影响 ,分类分析脐带异常与围产儿预后。结果 :脐带异常组致胎儿窘迫 ,新生儿窒息 ,围产儿死亡 ,IUGR发生率明显高于无脐带异常组 ,(P<0 .0 1)。各类脐带异常中 ,对围产儿预后影响最大的是脐带脱垂和脐带扭转。结论 :脐带异常是影响围产儿生长和预后的重要因素。脐带脱垂、脐带扭转是造成围产儿死亡的主要原因。加强高危妊娠管理 ,综合监测是降低围产儿窒息率、死亡率的具体措施。

Effect of abnormal cord on perinatal infant

Objective : To analyse the effect of abnormal cord on perinatal infant, take measures to reduce asphyxia rate of perinatal infant and mortality. Methods: To analyse the effect on perinatal infant by statistics in 193 patients with abnormal cord and 674 cases with no mal cord, analyse the prognosis of perinatal infant by classification. Results: Fetal distress,neonatal asphyxia, perinatal infant death, IUGR in abnormal cord group occurred significantly higher than in normal group,(P<0.01) . Among all kinds of cords, the one which has the greatest effect on prognosis of perinatal infant is droop of cord and torsion. Conclusion: Abnormal cord is an important factor which influences the growth and progonsis of perinatal infant, droop and torsion of cord are the leadings cause of perinatal infant death. To strengthen mangement and monitor in high-risk pregnancy are concrete measures reducing the rate of asphyxia and mortality.