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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。
Objective To investigate the effect of umbilical cord around neck on perinatal children. Methods: A retrospective analysis was performed on 365 cases of umbilical cord around neck: ①The relationship between umbilical cord length and umbilical cord around neck was analyzed; ② The effect of umbilical cord around neck on perinatal children was compared. Results There was no umbilical cord around the neck in the short group of the umbilical cord. The incidence of umbilical cord around the neck in the umbilical cord overlong group was significantly higher than that in the umbilical cord normal group (p <0.01). The fetal distress rate of the umbilical cord around the neck was 23.01% 7.67%. Conclusion The cord around the neck and the length of the umbilical cord has a certain relationship, umbilical cord is too long lead to the neck around the neck of the basic reasons. Umbilical cord around the neck will significantly increase fetal distress, neonatal asphyxia and the incidence of death.