232例脐带异常对围产儿的影响

目的：探讨脐带异常的因素及对围产儿的影响。方法：对2001年1月至12月住院分娩的746例中232例脐带异常者进行回顾性分析。结果：脐带异常的发生率为31．10％，其中脐带缠绕占77．29％，脐带扭转占12．50％，脐带过长占3．88％，脐带过短占3．02％，脐带水肿占1．72％，脐带先露及脐带脱垂各占0．86％，帆状脐带占0．43％。脐带异常组胎儿宫内窘迫、新生儿窒息，死胎、死产及新生儿死亡率明显高于脐带正常组。胎心监护中跳跃型基线变异和变异减速型符合率较高，分别为91．4％和94．2％。结论：脐带异常对围产儿存在严重危害，产前产时监护具有重要性。

232 Cases of Umbilical Cord Abnormality on lnfluence of Prenatal Fetal

Objective: Toexplore the causes and influence of umbilical cord abnormality on prenatal fetal .Methods:232 cases of umbilical cord abnormality in736 cases in 2001 were analyzed retrospectively.Results:The incidence of umbilical cord abnormality was 31.1%.Of them,umbilical cord winding was 77.29%.Umbilical cord volvulate was 12.5%.3.88% of the umbilical cords wer too long and 3.02%of the umbilical cords were too short.Umbilical cord edema was 1.72%.Both umbilical cord presentation and prolapsed were 0.86%.Veliform umbilical cord was0.43%.Fetal with umbilical cord abnormality tahd higher incidences of intrauterine distress,newborn asphyxia,dead-birth,stillbirth and mortality of newborn than those with umbiluical cord normality.Variation of Jumping basic line had high coincidence with variation deceleration in monitoring fetal heart,91.4%and94.2%reapectivesy.Conclusions:Umbilical cord abnormality hurts badly prenatal fetal.Monitoring in ante partum and giving birth is very important.