胎儿窘迫的诊断指标及相关因素分析

The Diagnosis Index and Related Factors of Fetal Distress

目的:探讨胎儿窘迫的诊断指标及其相关因素。方法:分析209例以胎儿窘迫为指征行剖宫产病例,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及胎儿窘迫相关因素百分率,并统计各胎儿窘迫相关因素百分比。结果:随着胎儿窘迫诊断指标项目的增多,发现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。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:胎儿窘迫应采取多指标来诊断。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 diagnosis index and related factors of fetal distress. Methods： 209 cases with uterine - incision delivery for fetal distress were analyzed. Based on diagnosis index, they were divided into groups. The rate of neonate asphyxia, the rate of related factors of fetal distress and ratio of above factors were statistically calculated. Results： The rate of neonate asphyxia and that of related factors of fetal distress increased with the diagnosis index. The major factors of fetal distress were umbilical cord, oligoamnios, and placenta. Conelusion：The fetal distress should be diagnosed by multi- indexs. The cases with related factors of fetal distress should be closely monitored, proper treatment with uterine - incision delivery.