脐带异常对围产儿影响.docVIP

脐带异常对围产儿影响 　　[摘要] 目的 探讨脐带异常对围产儿的影响。 方法 整群选取该院2012年1月―2014年12月妊娠合并脐带异常的896例孕妇为研究对象，并同期选取802例无脐带异常的孕妇作为对照组，两组孕妇均无合并症，两组间孕妇年龄与孕周差异无统计学意义（P0.05），回顾性分析脐带异常对围产儿的影响。 结果 脐带异常组孕妇的胎儿生长受限、胎儿窘迫、新生儿窒息、围产儿死亡率均高于对照组，差异有统计学意义（P0.05）。 结论 脐带异常对围产儿影响严重，要尽早发现，并加强胎儿监测手段，采取积极的处理措施，以降低围产儿的病残率和死亡率。 　　[关键词] 脐带异常；围产儿；影响 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）05（b）-0071-02 　　Influence of Abnormal Umbilical Cord on Perinatal Infants 　　XUE Hong-yan，WANG Jing-min，ZHANG Su-ming 　　Department of Obstetrics and Gynecology， Peoples Hospital of Jiaozuo City ，Jiaozuo， Henan Province， 454000 China 　　[Abstract] Objective To investigate the influence of abnormal umbilical cord on perinatal infants. Methods 896 cases of pregnant women with abnormal umbilical cord in our hospital were selected from 2012 January to 2014 December as the research object， meanwhile 802 cases of pregnant women without abnormal umbilical cord were selected as contrastive group. There was no complications in each of two groups. There was no statistical difference （P0.05） in age and pregnant weeks. Influence on perinatal infants with abnormal umbilical cord was analyzed by the method of etrospective analysis. Results The percentages of fetal growth restriction， fetal distress， neonatal asphyxia， perinatal mortali 　　ty in the group with abnormal umbilical cord were higher than those of contrative group， the difference was statistically significant （P0.05）. Conclusion Abnormality of umbilical cord affects perinatal infant severely. We should find it as soon as possible ， and strengthen the fetal monitoring ， take advantageous measures， in order to reduce the rate of disability and mortality. 　　[Key words] Abnormal umbilical cord ； Perinatal infant ； Influence 　　脐带是连接母体与胎儿间的重要桥梁，内含一条脐静脉和两条脐动脉，运输营养物质及代谢产物。脐带异常会造成胎儿窘迫，甚至死胎、死产等严重后果。该研究对该院于2012年1月―2014年12月3年间收治的合并脐带异常的产妇进行回顾性分析，探讨脐带异常对围产儿的影响，总结经验教训，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　2012年1月―2014年12月期间，该院分娩总数4692例，发生脐带异常896例，占19.1%，作为研究组，年龄23～41岁，分娩孕周29～42周，初产妇723例，经产妇173例，单