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目的:探讨分析紧急宫颈环扎术病例的新生儿情况。方法:回顾性分析57例紧急宫颈环扎术患者的临床资料,分为晚期流产组、早产组和足月组,每例患者都与行紧急环扎术时同孕周的新生儿和分娩时同孕周的新生儿1∶1配对比较,分析比较实验组和对照组新生儿窒息率、死亡率、新生儿体重、胎膜感染率差异是否有统计学意义。结果:紧急宫颈环扎术能延长妊娠孕周6.0~6.8周。57例紧急宫颈环扎术组共83例新生儿,与环扎孕周同期对照组相比,围产儿的窒息发生率、死亡率及体重差异有统计学意义(P<0.05);与分娩孕周对照组相比,围产儿的窒息发生率、死亡率、体重及胎膜感染率差异无统计学意义(P>0.05)。结论:紧急宫颈环扎术可以改善流产患者围产儿的窒息率、死亡率及体重,并不增加分娩时围产儿窒息率、死亡率及胎膜感染率,新生儿体重无明显影响。
Objective: To investigate the situation of neonatal cases of emergency cervical cerclage. Methods: A retrospective analysis of 57 cases of emergency cervical cerclage clinical data, divided into late abortion group, premature labor group and term group, each patient with emergency cerclage during gestational weeks of newborns and childbirth Compared with gestational week newborn 1: 1 paired comparison analysis of the experimental group and control group neonatal asphyxia, mortality, neonatal weight, fetal infection rate differences were statistically significant. Results: Emergency cervical cerclage can prolong gestational gestational age from 6.0 to 6.8 weeks. There were 83 newborns in 57 cases of emergency cervical cerclage group. Compared with the control group in the same period of gestational weeks, perinatal asphyxia, death rate and body weight were significantly different (P <0.05) Perinatal asphyxia, mortality, body weight and fetal infection rates were not significantly different between the two groups (P> 0.05). Conclusions: Emergency cervical cerclage can improve asphyxia, mortality and body weight in perinatal patients without any increase of perinatal asphyxia, mortality and fetal membrane infection rate and no significant effect on newborn body weight.