新生儿窒息与羊水粪染的关系及护理

目的将87例孕龄在37～42周新生儿窒息及其羊水情况、电脑胎儿胎心监护进行回顾性分析。方法研究新生儿窒息与羊水粪染的关系及新生儿窒息的护理方法。结果新生儿窒息与羊水粪染有关,新生儿轻度窒息组羊水粪染为Ⅰ～Ⅱ度的比例高,而新生儿重度窒息组羊水粪染为Ⅲ度的比例高(P<0.05);Ⅲ度羊水粪染者胎心监护的异常发生率明显高于羊水清亮或Ⅰ度羊水粪染者(P<0.01);电脑胎心监护对新生儿窒息的阳性预测率为29.09%(16/55)。结论新生儿窒息的发生与羊水粪染的程度有关。一旦出现羊水粪染Ⅲ度应立即结束分娩,出现羊水粪染Ⅰ～Ⅱ度时必须在胎心监护下密切观察产程的进展,一旦出现异常尽快结束分娩,以便降低新生儿窒息的发生率。减少围产儿死亡率。

Objective 87 cases of gestational age at 37-42 weeks of neonatal asphyxia and the amniotic fluid, the computer analysis of fetal heart rate monitoring feta I. Methods Study of neonatal asphyxia and meconium-stained amniotic fluid and the relationship between the care of neonatal asphyxia. Results The neonatal asphyxia and meconium-stained amniotic fluid, and neonatal asphyxia with mild meeonium-stained amniotic fluid group Ⅰ -Ⅱ degree for the proportion of high, and neonatal severe asphyxia group meconium-stained amniotie fluid for the high proportion of grade m （ P 〈 0. 05 ） ;Ⅲ degree of meeonium-stained amniotie fluid from the abnormal fetal heart rate monitoring was significantly higher than the incidence of amniotic fluid clear or meconi- urn-stained amniotic fluid I degrees were （ P 〈 0.01 ） ; computer fetal heart rate monitoring on neonatal as- phyxia positive predictive rate was 29.09% （ 16/55 ）. Conclusion The incidence of neonatal asphyxia and me- conjure-stained amniotic fluid of the degree. Once llI degree of meconium-stained amniotic fluid should be an immediate end to delivery, meeonium-stained amniotic fluid appeared Ⅰ -Ⅱ degrees must be under the close ohservatlon of fetal heart rate monitoring the progress of labor, in the event of abnormal delivery as soon as possible in order to reduce the incidence of neonatal asphyxia. Reduce perinatal mortality.