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目的探讨脐带绕颈在产程中导致胎儿窘迫、新生儿窒息的发生率,选择合适的分娩分式。方法 200例脐带绕颈孕妇为观察组,同期抽取无脐带绕颈的孕妇300例为对照组,分析比较两组孕妇胎儿窘迫、新生儿窒息的发生率、脐带绕颈周数与胎儿窘迫、新生儿窒息的发生率及分娩方式。结果观察组胎儿窘迫、新生儿窒息的发生率明显高于对照组(P<0.05);脐带绕颈1周观察组与对照组比较剖宫产率差异无统计学意义(P>0.05);脐带绕颈≥2周观察组与对照组比较其剖宫产率明显升高(P<0.05)。结论脐带绕颈1周者,鼓励自然分娩。脐带绕颈≥2周者,加强监护,适时剖宫产。
Objective To investigate the incidence of fetal distress and neonatal asphyxia caused by umbilical cord around the neck in the labor process, and select the appropriate parting formula. Methods 200 cases of umbilical cord around the neck pregnant women as the observation group, taking the same period without cord around the neck of 300 pregnant women as the control group, analysis of fetal distress in two groups of pregnant women, the incidence of neonatal asphyxia, umbilical cord circumference and fetal distress, The incidence of asphyxia and mode of delivery. Results The incidence of fetal distress and neonatal asphyxia in the observation group was significantly higher than that in the control group (P <0.05). There was no significant difference in cesarean section rate between the observation group and the control group (P> 0.05) Cesarean section rate was significantly higher in observation group than in control group (≥2 weeks) (P <0.05). Conclusion The umbilical cord around the neck 1 week to encourage natural childbirth. Umbilical cord around the neck ≥ 2 weeks, to strengthen custody, timely cesarean section.