【摘要】 目的:通过胎心监护及脐动脉血流S/D比值,探讨脐带扭转对妊娠结局的影响。方法:选取2013年1月-2015年1月在笔者所在医院分娩的伴有脐带扭转的孕妇110例作为观察组,同时随机选取脐带无异常的孕妇110例作为对照组,通过监测围产期胎心监护、脐动脉血流S/D比值及新生儿结局,对临床数据进行回顾性分析。结果:观察组平均脐动脉血流S/D值为(3.51±0.31),与对照组比较明显较高(P<0.05);观察组孕妇胎心监护NST试验无反应或OCT试验(或CST试验)呈Ⅲ图形的比例明显高于对照组(P<0.05);观察组剖宫产率明显增高(P<0.05);脐带扭转使胎儿产生胎儿窘迫率70.53%、新生儿窒息率7.27%、胎儿生长受限发生率19.09%、孕妇剖宫产率70.90%,均明显高于对照组(P<0.05)。结论:胎心监护和脐血流参数对脐带扭转的治疗有指导意义,可明显降低妊娠不良结局。更多还原

【Abstract】 Objective:To discuss the effect of umbilical cord torsion for pregnancy outcome via fetal hear rate monitoring and umbilicus artery blood stream S/D ratio.Method:From Jan 2013 to Jan 2015 in our hospital 220 cases of patients were randomly divided into two groups.The treatment group was 110 puerperal pregnant women suffering umbilical cord torsion.The control group was 110 natural puerperal pregnant woman.Doing retrospective analysis of clinic data to the treatment group and the control group.Result:The mean of umbilicus artery blood stream S/D ratio in the treatment group was(3.51±0.31),was higher than that of the control group(P<0.05).The ratio of non-reaction to NST-trial and Ⅲ-graph to OCT(or CST)-trial in the treatment group were higher than those of the control group(P<0.05).The ratio of fetal suffering fetal distress was 70.53%,newborn asphyxia was 7.27%,fetal growth restriction was 19.09%,caesarean birth was 70.90%,were higher than those of the control group,there were statistical significance(P<0.05).Conclusion:The fetal hear rate monitoring and umbilicus artery blood stream S/D ratio are provided with direct significance to therapy of umbilical cord torsion,and can reduce the influence of gestation ending.更多还原