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目的：探讨脐带缠绕的临床特点及意义。方法：对１９９４～１９９６年在我院分娩的４２０例产妇（脐绕组２１０例，对照组２１０例）的分娩资料进行回顾性分析。结果：（１）胎儿窘迫率、新生儿窒息率与对照组比较，差异有显著性。（２）胎膜早破、胎方位异常、胎头衔接下降异常发生率与对照组比较，差异有显著性。（３）剖宫产及阴道助产率与对照组比较，差异有显著性。（４）胎心监护示变异减速（ＶＤ）和基线跳跃（突变型）明显高于对照组。结论：脐带缠绕影响产程进展，导致分娩异常，可给围生儿带来不良结局。
Objective: To investigate the clinical features and significance of umbilical cord entanglement. Methods: The data of 420 maternal births (210 cases of umbilical wounds and 210 cases of control group) delivered in our hospital from 1994 to 1996 were analyzed retrospectively. Results (1) Fetal distress rate and neonatal asphyxia rate compared with the control group, the difference was significant. (2) The incidence of premature rupture of membranes, abnormal fetal position and abnormal fetal head convergence decreased significantly compared with the control group. (3) cesarean section and vaginal delivery rate compared with the control group, the difference was significant. (4) Variation and deceleration (VD) and baseline jump (mutation) in fetal heart rate monitor were significantly higher than those in control group. Conclusion: The umbilical cord entanglement affects the progress of labor, resulting in abnormal delivery, which can bring adverse outcomes to the infants.