CAJ | 학술논문

目的：探讨胎儿脐带绕颈与胎儿宫内缺氧及出生窒息的关系，指导临床正确处理和采取合适的分娩方式，保障母婴安全。方法对2012－01～2013－09间我院入院分娩，最后一次B超检查诊断头位胎儿脐带绕颈的孕产妇资料进行统计、分析。结果胎儿脐带绕颈发生率为19．01％；绕颈1周占胎儿脐带绕颈的73．94％；脐带绕颈胎儿宫内窘迫、新生儿窒息发生率远比无绕颈高；胎儿脐带绕颈周数与胎儿宫内窘迫和新生儿窒息发生率呈正相关；胎儿脐带绕颈三周及以上，剖宫产、胎儿、新生儿死亡率均明显高于其他组。结论胎儿脐带绕颈不是剖宫产的指征，孕妇掌握自我监护，分娩时加强监测，异常情况及时处理，根据脐带绕颈和临床情况，适时采取合适的分娩方式，对确诊胎儿脐带绕颈3周及以上者应放宽剖宫产指征，是降低胎儿宫内窘迫、死胎、死产和新生儿窒息的保障。
목적：탐토태인제대요경여태인궁내결양급출생질식적관계，지도림상정학처리화채취합괄적분면방식，보장모영안전。방법대2012－01～2013－09간아원입원분면，최후일차B초검사진단두위태인제대요경적잉산부자료진행통계、분석。결과태인제대요경발생솔위19．01％；요경1주점태인제대요경적73．94％；제대요경태인궁내군박、신생인질식발생솔원비무요경고；태인제대요경주수여태인궁내군박화신생인질식발생솔정정상관；태인제대요경삼주급이상，부궁산、태인、신생인사망솔균명현고우기타조。결론태인제대요경불시부궁산적지정，잉부장악자아감호，분면시가강감측，이상정황급시처리，근거제대요경화림상정황，괄시채취합괄적분면방식，대학진태인제대요경3주급이상자응방관부궁산지정，시강저태인궁내군박、사태、사산화신생인질식적보장。
Objective To study fetal umbilical cord around the neck and fetal intrauterine hypoxia and birth asphyxia relationship ,to guide the clinical treatment and take the appropriate mode of delivery ,to ensure the safety of mother and infant .Methods Doing statistics and analysis of cases with fetal umbilical cord around neck in the hospital from Jan .2012 to Sep.2013.Results The incidence rate of fetal umbilical cord around the neck was 19.01%;around the neck for 1 weeks for umbilical cord around the neck was 73.94%;umbilical cord around the neck of fetal distress ,neonatal asphyxia rate was higher than no around the neck;fetal umbilical cord around neck and fetal dis-tress and neonatal asphyxia rate was positively correlated with fetal umbilical cord around the neck three weeks or more ;cesarean delivery , fetal,neonatal mortality were significantly higher than those in other groups .Conclusion Fetal umbilical cord around the neck is the indica-tion of cesarean section in pregnant women .Pregnant women should master the self care ,strengthen the monitoring of delivery ,abnormal sit-uation in time ,according to the umbilical cord around the neck and the clinical situation ,take the appropriate mode of delivery ,for the diag-nosis of fetal umbilical cord around the neck for 3 weeks or more and early selection of cesarean delivery , and is to reduce the fetal distress , fetal death , stillbirth and neonatal asphyxia of the security .