胎儿窘迫的诊断指标及相关因素分析

The diagnostic index of fetal distress and related factors

目的:探讨胎儿窘迫的诊断指标及相关因素。方法:分析233例以胎儿窘迫为指征行剖宫产病儿,按胎儿窘迫的不同诊断指标进行分组比较,统计其新生儿窒息率、胎儿窘迫相关因素百分率。结果:(1)随着胎儿窘迫诊断指标项目的增多,检出的新生儿窒息率和胎儿窘迫相关因素百分率也相应升高。(2)胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。结论:(1)胎儿窘迫应采取多指标诊断。(2)对于有胎儿窘迫相关因素者,应密切监护、积极处理、适时行剖宫产术。

Objective:To investigate the diagnostic index of fetal distress and related factors.Methods:233cases of fetal distress with indiˉcation undergoing cesarean section from January2000to May2004were retrospectively investigated,and compared in groups according to different indices of fetal distress,the rate of neonatal asphysia and the percentage of related factors of fetal distress were analysed statistically.Results:The rate of neonatal asphysia and the percentage of related factors of fetal distress were increased along with the increase of diagnostic index of fetal distress.The major related factors of fetal distress were as follows:abnormality of unbilical cord,oligohydramnios,placenta abnormality and so on.Conclusion:(1)Fetal distress should be diagnosed with more than one index.(2)Fetal distress with related factors should be monitored intiˉmately,and performed cesarean section in good time.