摘要
目的:探讨改变胎儿、胎盘相对位置对≤34周母儿的影响。方法:选择2016年1月至2018年12月在我院进行分娩的孕妇300例及其新生儿,根据胎儿胎盘相对位置分为A组、B组与C组。A组脐带、脐带胎儿端、脐带胎盘端位于同一水平面,B组脐带胎儿端低于胎盘端15 cm,C组脐带胎儿端低于胎盘端30 cm,记录和比较各组母儿预后。结果:三组孕妇的第三产程时间对比差异无统计学意义(P>0.05)。A组新生儿出生后第1 d、2 d与3 d的血清胆红素浓度都显著高于B组与C组(P<0.05),预后显著差于B组与C组(P<0.05),B组与C组以上指标对比差异无统计学意义(P>0.05)。A组、B组、C组孕妇产后出血、感染、便秘、静脉血栓等并发症发生率分别为16.0%、5.0%和4.0%,A组显著高于B组与C组(P<0.05)。结论:脐带胎儿端低于胎盘端可增加胎盘输血,降低新生儿胆红素水平,改善孕妇与新生儿的预后。
Objective:To investigate the influence of changing the relative position of the fetus and placenta on≤34 weeks of mother and child.Methods:From January 2016 to December 2018,300 pregnant women and their newborns who were delivered in our hospital were divided into the group A,group B and group C according to the relative position of the fetal placenta.The group A umbilical cord,umbilical cord fetal end,umbilical cord placenta end were located in the same horizontal plane.The group B umbilical cord fetal end were lower than the placenta end 15 cm.The group C umbilical cord fetal end were lower than the placenta end 30 cm.The prognosis of the two groups were recorded and compared.Results:There was no significant difference in the third stage of labor between the three groups of pregnant women(P>0.05).The serum bilirubin concentrations in group A were significantly higher than those in group B and group C on the 1 st,2 nd and 3 rd day after birth(P<0.05),and the prognosis was significantly worse than that of the group B and the group C(P<0.05),there were no significant difference between the group B and the group C(P>0.05).The incidences of complications such as postpartum hemorrhage,infection,constipation and venous thrombosis in the group A,group B and group C were 16.0%,5.0%and 4.0%,respectively,which was significantly higher in the group A than those of the group B and the group C(P<0.05).Conclusion:The fetal end of the umbilical cord which is lower than the placenta end can increase the placental blood transfusion,reduce the level of neonatal bilirubin,and improve the prognosis of pregnant women and newborns.
作者
涂业秀
邓新琼
廖滔
覃晓慧
唐哲文
TU Ye-xiu;DENG Xin-qiong;LIAO Tao;QIN Xiao-hui;TANG Zhe-wen(Guangxi University of Science and Technology Affiliated Maternity Hospital,Children's Hospital,Department of Obstetrics,Liuzhou,Guangxi,545001,China)
出处
《现代生物医学进展》
CAS
2019年第24期4699-4702,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金项目(81360365)
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016528).
关键词
胎儿
胎盘
相对位置
胆红素
黄疸
Fetus
Placenta
Relative position
Bilirubin
Jaundice
