胎儿分娩环境与生后Apgar评分的临床探讨(附173例分析)

The Parturient Environment of Foetus and the Prediction about Apgar Score (Analysis of 173 Cases)

将胎儿分娩过程中的羊水物质、有无早破水、产程改变、胎盘脐带、胎心是否正常统称为胎儿分娩环境,并作为5项指标与新生儿Apgar评分进行对比。结果发现,胎儿分娩环境评分方法可以比较全面地反映胎儿在分娩过程中的受抑制状态和异常程度。用于产程中对胎儿进行评估,能够预测生后的Apgar评分。可以指导临床采取正确的措施,减少或避免发生围产儿的宫内和生后窒息,降低新生儿的并发症。

In fetal delivery,the property of amniptic fluid,the amnion ruptured or not,the changing of delivery duration,the status of umbilical cord and placenta,and the fetal heart sound make so-called delivery environment. The delivery environment was divided into 5 indexes and they were compared with Apgar ' score. The results showed that the delivery environment evaluation may reflect the severity of fetal depression and abnormality in parturient course. The parturient environment evaluation may predict Apgar score of foetus after birth,thus it may be useful to reduce or avoid suffocation of the perinatal foetus in uterus,and drop complications of the newborn.