中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2013年
6期
624-626
,共3页
孤立性单脐动脉%脐动脉血气%Apgar评分%出生体重%染色体异常%新生儿
孤立性單臍動脈%臍動脈血氣%Apgar評分%齣生體重%染色體異常%新生兒
고립성단제동맥%제동맥혈기%Apgar평분%출생체중%염색체이상%신생인
Isolated single umbilical artery%Umbilical arterial blood gas%Apgar score%Birth weight%Chromosomal abnormality%Newborn
目的 探讨孤立性单脐动脉(isolated single umbilical artery,ISUA)新生儿出生时的健康情况.方法 2006年1月至2012年12月于我院出生的ISUA新生儿78例为ISUA组,同期于我院出生的脐带发育正常新生儿78例为对照组,回顾性分析两组新生儿出生后的Apgar评分、出生体重、转入新生儿重症监护室发生率、新生儿脐动脉血pH值及新生儿母亲产前进行羊膜腔穿刺进行染色体检查情况.结果 ISUA组新生儿体重(3246±75)g,低于对照组(3565±58)g,差异有统计学意义(P＜0.05),而两组新生儿的出生后Apgar评分、转入新生儿重症监护室的发生率、新生儿脐动脉血pH值的差异均没有统计学意义(P＞0.05).ISUA组新生儿母亲产前26例行羊膜腔穿刺,对照组仅l例,胎儿染色体检查均正常.结论 ISUA新生儿出生时与正常新生儿相比健康状况无明显差异,不需特别监护.
目的 探討孤立性單臍動脈(isolated single umbilical artery,ISUA)新生兒齣生時的健康情況.方法 2006年1月至2012年12月于我院齣生的ISUA新生兒78例為ISUA組,同期于我院齣生的臍帶髮育正常新生兒78例為對照組,迴顧性分析兩組新生兒齣生後的Apgar評分、齣生體重、轉入新生兒重癥鑑護室髮生率、新生兒臍動脈血pH值及新生兒母親產前進行羊膜腔穿刺進行染色體檢查情況.結果 ISUA組新生兒體重(3246±75)g,低于對照組(3565±58)g,差異有統計學意義(P＜0.05),而兩組新生兒的齣生後Apgar評分、轉入新生兒重癥鑑護室的髮生率、新生兒臍動脈血pH值的差異均沒有統計學意義(P＞0.05).ISUA組新生兒母親產前26例行羊膜腔穿刺,對照組僅l例,胎兒染色體檢查均正常.結論 ISUA新生兒齣生時與正常新生兒相比健康狀況無明顯差異,不需特彆鑑護.
목적 탐토고립성단제동맥(isolated single umbilical artery,ISUA)신생인출생시적건강정황.방법 2006년1월지2012년12월우아원출생적ISUA신생인78례위ISUA조,동기우아원출생적제대발육정상신생인78례위대조조,회고성분석량조신생인출생후적Apgar평분、출생체중、전입신생인중증감호실발생솔、신생인제동맥혈pH치급신생인모친산전진행양막강천자진행염색체검사정황.결과 ISUA조신생인체중(3246±75)g,저우대조조(3565±58)g,차이유통계학의의(P＜0.05),이량조신생인적출생후Apgar평분、전입신생인중증감호실적발생솔、신생인제동맥혈pH치적차이균몰유통계학의의(P＞0.05).ISUA조신생인모친산전26례행양막강천자,대조조부l례,태인염색체검사균정상.결론 ISUA신생인출생시여정상신생인상비건강상황무명현차이,불수특별감호.
Objective To investigate the healthy status of newborns with isolated single umbilical artery(ISUA).Methods A retrospective analysis was performed between newborns with ISUA (ISUA group,n =78)or without ISUA (control group,n =78),which were borned in our hospital during Jun 2006 ～Oct 2012.We compared the Apgar score at 1 and 5 minute,birth-weight,incidence of newborns admitted by neonate intensive care unit and pH value of umbilical arterial blood.The incidence of mothers amniocentesis for prenatal chromosome examination and outcomes of two groups were investigated.Results The birthweight of newborns with ISUA[(3246 ±75) g] was lower than that of the control group[(3565 ±58) g],the difference was statistically significant(P ＜ 0.05).While the differences of Apgar score,the incidence of newborns admitted by neonate intensive care unit,and pH value of umbilical arterial blood between two groups showed no significance (P ＞ 0.05).There were 26 cases underwent amniocentesis in ISUA group,however 1 case in control group.The fetal chromosomal tests were normal.Conclusion The healthy status of newborns with ISUA are the same as the newborns with three-vessel umbilical cord,and we need not take more care of the newborns with ISUA.
