中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
12期
67-68,69
,共3页
张吉红%卢柳荷%钟发珍%莫志平
張吉紅%盧柳荷%鐘髮珍%莫誌平
장길홍%로류하%종발진%막지평
干预措施%脐带绕颈%彩超%展望
榦預措施%臍帶繞頸%綵超%展望
간예조시%제대요경%채초%전망
Interventions%Umbilical cord around the neck%Colour doppler ultrasound%Outlook
目的：探讨分析彩超指导脐带绕颈分娩前干预策略及效果。方法：选取2012年7月-2013年6月在本院接受治疗的200例脐带绕颈的产妇，按照随机数字表法将其分为对照组和观察组各100例。对照组不采用分娩前干预措施，观察组采用超声检查对产妇脐带绕颈类型与方向进行确定，针对绕颈类型与方向，通过产妇卧姿，对其胎心与产程变化进行观察，以此选择合适的分娩方式。观察比较两组产妇分娩方式和胎儿宫内窘迫发生率及新生儿窒息率。结果：观察组的自然分娩率明显高于对照组，剖宫产率和胎儿宫内窘迫发生率均明显低于对照组，且新生儿窒息率明显低于对照组，差异均有统计学意义（P<0.05）。结论：彩超指导脐带绕颈分娩前干预措施能够有效降低胎儿宫内窘迫发生率、剖宫产率以及新生儿窒息率，值得临床应用与推广。
目的：探討分析綵超指導臍帶繞頸分娩前榦預策略及效果。方法：選取2012年7月-2013年6月在本院接受治療的200例臍帶繞頸的產婦，按照隨機數字錶法將其分為對照組和觀察組各100例。對照組不採用分娩前榦預措施，觀察組採用超聲檢查對產婦臍帶繞頸類型與方嚮進行確定，針對繞頸類型與方嚮，通過產婦臥姿，對其胎心與產程變化進行觀察，以此選擇閤適的分娩方式。觀察比較兩組產婦分娩方式和胎兒宮內窘迫髮生率及新生兒窒息率。結果：觀察組的自然分娩率明顯高于對照組，剖宮產率和胎兒宮內窘迫髮生率均明顯低于對照組，且新生兒窒息率明顯低于對照組，差異均有統計學意義（P<0.05）。結論：綵超指導臍帶繞頸分娩前榦預措施能夠有效降低胎兒宮內窘迫髮生率、剖宮產率以及新生兒窒息率，值得臨床應用與推廣。
목적：탐토분석채초지도제대요경분면전간예책략급효과。방법：선취2012년7월-2013년6월재본원접수치료적200례제대요경적산부，안조수궤수자표법장기분위대조조화관찰조각100례。대조조불채용분면전간예조시，관찰조채용초성검사대산부제대요경류형여방향진행학정，침대요경류형여방향，통과산부와자，대기태심여산정변화진행관찰，이차선택합괄적분면방식。관찰비교량조산부분면방식화태인궁내군박발생솔급신생인질식솔。결과：관찰조적자연분면솔명현고우대조조，부궁산솔화태인궁내군박발생솔균명현저우대조조，차신생인질식솔명현저우대조조，차이균유통계학의의（P<0.05）。결론：채초지도제대요경분면전간예조시능구유효강저태인궁내군박발생솔、부궁산솔이급신생인질식솔，치득림상응용여추엄。
Objective:To investigate and analyze the intervention strategies and effect of color doppler ultrasound guiding umbilical cord around neck before delivery.Method:200 maternal with umbilical cord around the neck in our hospital for treatment from July 2012 to June 2013 were selected,they were randomly divided into the observation group and the control group,100 cases in each group.The control group was not given intervention measures before delivery, the observation group was determined the maternal umbilical cord around neck type and direction,according to the type and direction around the neck,through maternal prone position,the fetal heart and the production process changes were observed,and selected the appropriate mode of delivery.The maternal mode of delivery,the incidence of fetal distress and neonatal asphyxia between the two groups were observed and compared.Result:The natural birth rate of the observation group was significantly higher than the control group,the incidence of cesarean section and fetal distress were significantly lower than those of the control group,and the rate of neonatal asphyxia was significantly lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Intervention measures of color doppler ultrasound guiding umbilical cord around neck before delivery can effectively reduce the incidence of fetal distress,cesarean section rate and neonatal asphyxia rate,it is worthy of clinical application and promotion.
