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目的探讨脐带绕颈产妇对产程和分娩方式的影响。方法对2007年6月至2008年6月间无妊娠合并症和并发症的60例脐带绕颈产妇进行回顾性分析。结果脐带绕颈组胎儿窘迫、产程异常、胎位异常的发生率明显高于对照组,差异有统计学意义(P<0.01),第二产程中出现急性胎儿窘迫占68.3%。脐带绕颈组自然分娩、阴道助产、剖宫产与对照组比较差异有统计学意义(P<0.01)。结论脐带绕颈是引起产妇难产和胎儿窘迫的一个重要因素,第二产程易出现急性胎儿窘迫,因此脐带绕颈产妇临产后严密观察产程,及时处理异常分娩,正确处理第二产程很重要。
Objective To investigate the impact of umbilical cord around neck maternal labor and delivery mode. Methods Retrospective analysis of 60 cases of umbilical cord around the neck without pregnancy complications and complications between June 2007 and June 2008. Results The incidence of fetal distress, labor abnormality and abnormal fetal position in the umbilical cord around the neck group was significantly higher than that in the control group (P <0.01). The incidence of acute fetal distress in the second stage of labor was 68.3%. The umbilical cord spontaneous delivery around the neck group, vaginal delivery, cesarean section and the control group, the difference was statistically significant (P <0.01). Conclusion The umbilical cord around the neck is an important factor that causes maternal dystocia and fetal distress. The second stage of labor is prone to acute fetal distress. Therefore, it is very important that the umbilical cord around the neck maternal closely observe the labor process after labor and timely treatment of abnormal delivery.