本文關(guān)鍵詞： 臍帶脫垂 危險(xiǎn)因素 圍產(chǎn)兒結(jié)局 預(yù)防　出處：《中華臨床醫(yī)師雜志(電子版)》2016年21期 　論文類型：期刊論文

【摘要】：目的探討臍帶脫垂的危險(xiǎn)因素及圍產(chǎn)兒的預(yù)后,以指導(dǎo)其處理和預(yù)防。方法回顧性比較分析2011年1月至2015年12月佛山市婦幼保健院發(fā)生的顯性臍帶脫垂和隱性臍帶脫垂的臨床資料。使用SPSS 21.0統(tǒng)計(jì)軟件處理數(shù)據(jù)。結(jié)果近5年我院臍帶脫垂總共發(fā)生44例,發(fā)生率為0.09%;其中顯性臍帶脫垂18例,發(fā)生率為0.037%;隱性臍帶脫垂26例,發(fā)生率為0.054%;臍帶脫垂中圍產(chǎn)兒死亡6例,圍產(chǎn)兒死亡率為13.6%。新生兒結(jié)局中,顯性臍帶脫垂組中新生兒窒息的發(fā)生率要高于隱性臍帶脫垂組(36.8%vs.8.0%)(χ2=5.519,P=0.027)。影響臍帶脫垂的因素中,經(jīng)產(chǎn)婦的顯性發(fā)生率(73.7%)要高于初產(chǎn)婦(26.3%)(χ2=4.940,P=0.035);定期產(chǎn)檢的孕婦中臍帶顯性脫垂的發(fā)生率(31.6%)要低于缺乏產(chǎn)檢的孕婦(68.4%)(χ2=8.628,P=0.005)。多因素Logistic回歸分析結(jié)果顯示,定期產(chǎn)檢能夠降低顯性臍帶脫垂的發(fā)生率(OR=0.098,95%CI=0.017~0.575)。結(jié)論顯性脫垂的新生兒窒息率高于隱性臍帶脫垂;經(jīng)產(chǎn)婦發(fā)生顯性臍帶脫垂機(jī)會(huì)增加,定期產(chǎn)檢能降低顯性臍帶脫垂的發(fā)生率。
[Abstract]:Objective to investigate the risk factors of umbilical cord prolapse and the prognosis of perinatal infants. Methods the clinical data of dominant and recessive umbilical cord prolapse from January 2011 to December 2015 in Foshan Maternal and Child Health Hospital were analyzed retrospectively. SPS was used. S. Results 44 cases of umbilical cord prolapse occurred in our hospital in recent 5 years. The incidence was 0.09. There were 18 cases of dominant umbilical cord prolapse, the incidence rate was 0.037%. Occult umbilical cord prolapse occurred in 26 cases (0.054%). There were 6 cases of perinatal death in umbilical cord prolapse, and the perinatal mortality was 13.6. in the neonatal outcome. The incidence of neonatal asphyxia in dominant umbilical cord prolapse group was higher than that in recessive umbilical cord prolapse group (36.8 vs 8.0) (蠂 2 = 5.519). Among the factors affecting umbilical cord prolapse, the dominant rate of menstrual women was 73.7%, which was higher than that of primipara women (蠂 2 = 4.940%, P < 0.035). The incidence of dominant prolapse of umbilical cord in pregnant women with regular birth examination was 31.6% (蠂 2 = 8.628), which was lower than that of pregnant women without birth examination (68.4%, 蠂 2 = 8.628). Multivariate Logistic regression analysis showed that regular birth examination could reduce the incidence of dominant umbilical cord prolapse (OR0.098). Conclusion the neonatal asphyxia rate of dominant prolapse is higher than that of recessive umbilical cord prolapse. The incidence of dominant umbilical cord prolapse can be reduced by regular birth examination.
【作者單位】： 廣東省佛山市婦幼保健院產(chǎn)科;
【分類號(hào)】：R714.7
【正文快照】： 臍帶脫垂是一種需要快速反應(yīng)及處理的產(chǎn)科急癥,通常需要緊急分娩,并伴隨著很高圍生兒發(fā)病率及死亡率。其分為顯性臍帶脫垂和隱性臍帶脫垂。臍帶位于胎先露一側(cè)或者胎膜未破時(shí)臍帶位于胎先露部前方,稱為臍帶先露或隱性臍帶脫垂。胎膜破裂臍帶脫出于宮頸口外,降至陰道內(nèi)甚至露于，

本文編號(hào)：1491056