彩超指导脐带绕颈分娩前助产干预与产后护理

目的：对彩超在脐带绕颈分娩前助产干预以及产后护理中的指导作用进行分析和探讨。方法：选取本院收治的436名脐带绕颈产妇作为研究对象，按照人院的先后顺序将216名产妇作为观察组（干预组），220名产妇作为对照组（非干预组），在分娩前对两组孕妇进行彩超检查均确诊为脐带绕颈，观察组产妇根据彩超检查结果制定相应的干预措施，对照组不干预，观察和记录两组孕妇的分娩方式、胎儿窘迫发生率以及新生儿出生后的Apgar评分。结果：经过助产干预，观察组93．5％选择自然分娩，14．4％孕妇出现宫内窘迫；对照组49．5％选择自然分娩，30．9％孕妇出现宫内窘迫，两组比较差异均有统计学意义（P〈0．05）。观察组新生儿的Apgar评分高于7分的有83．8％，对照组高于7分的有45．9％，两组比较差异有统计学意义（P〈0．05）。结论：彩超应用于脐带绕颈分娩前助产干预和产后护理指导中，能够有效减少孕妇痛苦、降低剖腹宫产率，对于优生优育具有重要意义，建议在妇产科未来的发展中推广使用。

Color Doppler Ultrasound Guidance of Umbilical Cord Around the Midwifery Intervention and Postpartum Care Before Ddivery

Objective： To analyze and discuss the color doppler uhrasound＇s guidance of midwifery intervention and postpartum nursing in umbilical cord around before delivery. Method： A total of 436 umbilical cord around the neck of women in the hospital were chosen as the research object, according to the order of admission, 436 cases of patients were divided into two groups. Use the color doppler ultrasound check the two pregnant women before delivery, everyone was diaguosed as umbilical cord around the neck. The observation group （ intervention group ） 216 cases of patients were made appropriate intervention measures based on the color doppler ultrasound examination results. The control group （ non intervention group ） 220 cases of patients were received no intervention, fetal childbirth way, the incidence of fetal distress, and incidence of neonata~ Apga~ score were observe and record. ~esult： The natural childbirth rate and intrauterine distress occurrence rate of the control group were 49.5% and 30.9% while the observation group were 93.5% and 14.4% after treatment, and the difference between the two groups were all statistically significant （ P〈0.05 ） . The neonatal Apgar score bigger than seven of the observation group was 83.8% which significantly higher than the control group of 45.9% （ P〈0.05 ） . Conclusion： Color （toppler ultrasound use in the guidance of midwifery intervention and postpartum nursing in umbilical cord around before delivery, it can effectively reduce maternal pain, reducing the rate of caesarean, and have important significance for Eugenics, we recommend to use it in the future development of gynaecology and obstetrics.