91例脐带绕颈临床分析.pdfVIP

WESTCHINAMEDICALJOURNM 2008，Vo1．23，No．2 CN 51—1356／R [文章编号]1002—0179(2008)02—0260—02 91例脐带绕颈临床分析 ClinicalAnalysisof91CasesofUmbilicalCordEntanglement 朱秀琼，李俊林 ZHU Xiu—qiong，LIJun—lin (四川省科学城医院，四川绵阳 621900) (i!ertceCityHospital，MianyangSichuan621900，China) 摘要 目的：探讨脐带绕颈周数、长度对新生儿影响。方法：对 9l例脐带绕颈进行临床分析。结果：脐带 绕颈周数与脐带长度有关 ，脐带绕颈与未绕颈的新生儿窒息率 、羊水粪染率有显著差别，发生绕颈后脐带长度≤ 40em与脐带长度40cm的羊水粪染发生率和剖宫产率有显著差异。结论 ：脐带越长越容易发生多周绕颈，脐带 越短，新生儿窒息率及剖宫产率越高。因此加强孕产期监护，适时终止妊娠，以降低新生儿窒息率。 关键词 ：脐带绕颈；羊水粪染；新生儿窒息；剖宫产 [中圈分类号]R714．56 [文献标志码]A Abstract：Objective：TostudytheinflHenceofmnbihcalcordentanglement’scyclesandlengthtoinfant．Methods：Ninety — oneexamplesofumbilicalcordentnaglementwereanalyzed．Results：ThecyclenumberofmnbiliealcordentanglementisCOIl— nectedwithfilelengthofumbilical cord．Thereissignificantdifferenceoftheoccurrenceratesnewbornswithasphyxianadamniotic fluidexcrementstainbetweenumbilicalcordentanglementandflon—mnbilicalcord entanglement．Afterumbilicalcord winded neck-thereissignificantdifferenceoftheoccurrenceratesanmioticfluidmeeonium stainednadcesareansectiondehverybetween htelength≤40 cm nadthelength 40cm．Conclusion：Morelongtheumbilicalcordlength，moreeasytakingumbilicalcord entanglement．Moreshorttheumbilicalcordlength，moreea~syhavingnewbornswithasphyxianadcesareansectiondelivery．So， hteantenatalcareisreinforcedduringthepregnnacyandpregnancyisendedintimetoreducehteoccurrencerateofnewbornswith asphyxia． Keywords：umbilica1cordentanglement；mnniotiefluidmecouitna stained；newbornswithasphyxia；cesarenasection (Receiveddate：2oo7—11一O8) 作者简介：朱秀琼 (1962一)，女，四 川资中人，主治医师 、 维的阻挡，水分子弥散受限，因而其 导致水分子弥散增加，老年人的脑组织