脐动脉螺旋指数与围产期结局
Umbilical coiling index & the perinatal outcome.
作者信息
Devaru Dakshayini, Thusoo Meghna
机构信息
Department Obstetrics and Gynecology, J.J.M Medical College, Davangere, 577004 Karnataka India ; #2687, 2nd Main, 4th Cross, M.C.C 'B' Block, Davangere, 577004 Karnataka India.
出版信息
J Obstet Gynaecol India. 2012 Feb;62(1):43-6. doi: 10.1007/s13224-012-0158-4. Epub 2012 Apr 20.
OBJECTIVES
To correlate the perinatal outcome by noting the umbilical coiling index.
METHODS
The umbilical cords of the babies born to 100 women, who delivered either vaginally or by lower segment cesarean section, were examined and umbilical coiling index was calculated.
RESULTS
There was significant correlation (p value 0.003) between the hypercoiled cords (UCI >90th percentile) and intrauterine growth restriction of the babies. Apgar score at 1 min <4 and 5 min <7 was highly significant (p < 0.001) with hypocoiled cords. Meconium staining was significantly (p value 0.001) associated with the hypocoiled cords (UCI <10th percentile) in the present study.
CONCLUSION
The hypocoiled cords or UCI <10th percentile is associated with the meconium staining, Apgar score at 1 min <4 and Apgar score at 5 min <7. The hypercoiled cord or UCI >10th percentile is associated with intra uterine growth restriction.
目的
通过记录脐绕指数来关联围产期结局。
方法
对100名经阴道或下段剖宫产分娩的女性所生婴儿的脐带进行检查，并计算脐绕指数。
结果
过度缠绕的脐带（脐绕指数>第90百分位数）与婴儿宫内生长受限之间存在显著相关性（p值为0.003）。与脐带缠绕过松相关，出生后1分钟阿氏评分<4分且5分钟阿氏评分<7分具有高度显著性（p<0.001）。在本研究中，胎粪污染与脐带缠绕过松（脐绕指数<第10百分位数）显著相关（p值为0.001）。
结论
脐带缠绕过松或脐绕指数<第10百分位数与胎粪污染、出生后1分钟阿氏评分<4分以及出生后5分钟阿氏评分<7分相关。过度缠绕的脐带或脐绕指数>第10百分位数与宫内生长受限相关。
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