65例胎儿宫内发育迟缓临床分析

Topic:Clinic Analysis From 65 Cases of Intrauterine Growth Retardation (IUGR)

我院1992年6月至1994年10月产科共分娩2343人。根据妊娠图及B超提示胎儿宫内发育迟缓（IUGR）75例，根据出生后体重证实为IUGR65例、IUGR发生率为3.2％．治疗方法有左侧卧位、口服维生素类药物、硫酸舒喘灵、氨基酸冲剂、静脉滴注葡萄糖及能量合剂等．治疗时间最短7天，最长4周．治疗有效34例，治疗有效率为45．3％，其中有产科合并症和内科合并症的分别为30．0％及57．1％，无合并症的治疗有效率为50％。治疗最有效时间为孕28周至36周．IUGR易致胎儿窘迫及合并羊水过少，通过胎盘功能测定及生物电子监护等监测手段发现胎儿在宫内处于危险状态时应尽快终止妊娠。

2,343 women were in labor in the obeterical department of our hospital from June, 92.to Oct, 94. According to the main points of pregnancy charts and Brightness Mode ultrasonic Examination, there were 75 cases of IUGR. In the end, there were 65 cases of IUGR comfir med on the basis of postnatal weight. The incidence rate of IUGR was 3.2%. The thrapeutic methods included: Keeping left lateral position, taking Vitamins,salbutamol sulfate and mixture of Amino Acid orally, infusing glucose, mixture of energy intravenously, etc. The shortest therapeutic time was 7 days and the longes one was 4 weeks. 34 cases were cured effectively and the effective rate was 45.3%. 30% cases had obsterical complications and 57.1% cases had intemal diseases. The efftaively therapeutic rate of the cases without complications was 50%. The bot for for therapy is 28-36 gravid weeks. IUGR diseases lead easily to intrauterine asphyxia and hypamnion. Through determining placental function and using. bioelectric monitors, we shall find that we must discontinue pregnancy as quickly as we can whea the intrauterine fetus is in danger.