摘要
目的探讨脐带绕颈产妇行阴道分娩与剖宫产对新生儿窒息的影响。方法以2015年1月—2017年12月于该院产科收治的100例脐带绕颈1~2周的产妇为研究对象,依据分娩方式不同分为实验组(阴道分娩,50例)和对照组(剖宫产,50例),对比观察两组分娩结局,以Apgar量表评价两组新生儿窒息情况。结果实验组阴道分娩成功率96.0%,对照组剖宫产手术成功率100.0%,两组母婴均平安,成功率差异无统计学意义(χ~2=0.75,P>0.05)。实验组新生儿Apgar评分(9.1±0.6)分,与对照组(9.3±0.5)分差异无统计学意义(t=0.86,P>0.05);实验组新生儿窒息发生率(6.0%)与对照组(4.0%)差异无统计学意义(χ~2=1.25,P>0.05)。结论胎儿脐带绕颈1~2周的产妇在严密监护前提下进行阴道分娩是安全可行的,不会明显增加新生儿窒息风险,值得临床推广使用。
Objective To study the effect of different delivery ways of umbilical cord around neck on the asphyxia in newborns.Methods 100 cases of delivery women with umbilical cord around neck for 1 to 2 weeks in our hospital from January 2015 to December 2017 were selected and divided into two groups with 50 cases in each according to different delivery ways,the experimental group used the vaginal delivery,while the control group used the cesarean section,and the delivery outcome of the two groups was observed and compared,and the asphyxia in newborns was evaluated by the Apgar scale.Results The successful rate of vaginal delivery in the experimental group and the successful rate of cesarean section surgery in the control group were respectively 96.0% and 100.0%,and the mothers and infants were safe,and the difference in the successful rate between the two groups was not obvious（χ2=0.75,P〉0.05）,and the Apgar score of newborns in the experimental group and in the control group was respectively（9.1 ±0.6）points and（9.3±0.5）points,and the difference was not statistically significant（t=0.86,P〉0.05）;the incidence rate of asphyxia of newborns in the experimental group and in the control group was respectively 6.0% and 4.0%,and the difference was statistically significant（χ2=1.25,P〉0.05）.Conclusion The vaginal delivery of fetuses with umbilical cord around neck for 1 to 2 weeks is safe and feasible under the precondition of close monitoring without obviously increasing the asphyxia risk of newborns,and it is worth clinical promotion and application.
作者
杨红
YANG Hong(Department of Gynecology and Obstetrics,Xuyi People＇s Hospital,Xuyi,Jiangsu Province,211700 China)
出处
《系统医学》
2018年第14期111-112,115,共3页
Systems Medicine
关键词
脐带绕颈
阴道分娩
剖宫产
分娩结局
新生儿窒息
Umbilical cord around neck
Vaginal delivery
Cesarean section
Delivery outcome
Asphyxia in newborns
