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目的探讨胎儿脐带绕颈与分娩方式的关系及影响。方法回顾性分析2008年2月至2011年2月我院产科住院分娩的68例脐带绕颈产妇的临床资料,将其作为观察组并与随机抽取同期的无脐带绕颈的产妇68例为对照组进行临床观察,比较2组的分娩方式。结果 2组产妇胎心监护情况比较,观察组变异减速(VD)的发生率比对照组VD明显要高(P<0.05),妇早期减速(ED)、晚期减速(LD)的发生率,2组顺产率、剖宫产率无显著性差异(P>0.05)。结论脐带绕颈对分娩方式与分娩结局无不利影响,根据脐带绕颈情况,可选择自然分娩或剖宫产。
Objective To investigate the relationship between fetus cord around neck and mode of delivery. Methods The clinical data of 68 cases of umbilical cord around neck maternity hospitalized in our hospital from February 2008 to February 2011 were retrospectively analyzed. They were used as the observation group and compared with 68 cases of maternal women without umbilical cord around the neck Group clinical observation, comparison of two groups of delivery methods. Results The incidence of degeneration (VD) in observation group was significantly higher than VD in control group (P <0.05), and the incidence of decelerating (ED) and late slowing (LD) in both groups was significantly higher than that in control group Group cis-rate, cesarean section rate was no significant difference (P> 0.05). Conclusion The umbilical cord around the neck has no adverse effect on the mode of delivery and delivery outcome. According to the situation around the neck of the umbilical cord, either spontaneous delivery or cesarean delivery can be selected.