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目的探讨头位脐带绕颈选择合理的分娩方式,且与胎儿窘迫及新生儿窒息的关系。方法选取2008年3月至2012年10月我院妇产科收治的头位脐带绕颈且足月单胎产妇165例为观察组,随机选取同期住院的无脐带绕颈且足月单胎的产妇165例为对照组,对比分析两组分娩方式、胎儿窘迫及新生儿窒息的差异。结果观察组在剖宫产、胎儿窘迫发生的机率较对照组明显升高,差异具有统计学意义(P<0.05)。而在新生儿窒息发生率比较无明显差异,差异无统计学意义(P>0.05)。结论头位脐带绕颈经阴道分娩在严格观察产程及胎心率的变化的基础上,其分娩方式也是比较安全的,但绝对忌把脐带绕颈作为剖宫产的手术指征,增加剖宫产近期及远期的并发症。
Objective To investigate the relationship between head-position umbilical cord around neck and reasonable mode of delivery and its relationship with fetal distress and neonatal asphyxia. Methods From March 2008 to October 2012 in our hospital obstetrics and gynecology head and neck uterine incision around the neck and full-term single mothers 165 cases of observation group were randomly selected at the same period of hospitalization without cord around the neck and single-term full-term Maternal 165 cases as control group, comparative analysis of two groups of delivery methods, fetal distress and neonatal asphyxia differences. Results The incidence of cesarean section and fetal distress in observation group was significantly higher than that in control group (P <0.05). No significant difference in the incidence of neonatal asphyxia, the difference was not statistically significant (P> 0.05). Conclusion The first position of the umbilical cord vaginal delivery around the neck in the strict observation of labor and fetal heart rate changes based on the mode of delivery is relatively safe, but definitely avoid the umbilical cord around the neck as a cesarean indications for surgery to increase the cesarean section Recent and long-term complications.