胎儿宫内窘迫的临床分析

Clinical analysis of fetal distress

目的及早、正确地诊断胎儿宫内窘迫,预测胎儿预后。方法 415例发生胎儿宫内窘迫患者随机分为监护组240例和对照组175例。监护组给予胎心监护,对照组常规处理。观察2组新生儿Apgar评分、正常产率、侧切胎吸及产钳助产率等。结果监护组新生儿Apgar评分0～3分及4～7分者所占比例均低于对照组,差异有统计学意义(P<0.01);8～10分者所占比例为89.2%高于对照组的66.9%,差异有统计学意义(P<0.01)。监护组正常产率为51.6%高于对照组的41.1%,差异有统计学意义(P<0.05);侧切胎吸及产钳助产率明显低于对照组(P<0.05)。结论应早期重视可导致胎儿宫内窘迫的高危因素,正确应用胎心监护,采取合适的分娩方式适时终止妊娠。

Objective Early,correct diagnosis of fetal distress,fetal prognosis and reduce the cesarean section rate,to neonatal asphyxia and perinatal mortality of children.Methods 415 cases of fetal distress were randomly divided into occurred monitoring group（240 cases）and control group（175 cases）.Monitoring group to fetal heart rate monitoring,control group conventional treatment.Observed the Apgar score,normal production rate,lateral tire smoke and forceps delivery rates between these two groups.Results The proportion of people with Apgar score 0～3 points and 4～7 points in monitoring group were lower than those in control group,the difference was statistically significant（P0.01）;The proportion of people with 8～10 points were 89.2% higher than 66.9% in control group,the difference was statistically significant（P0.01）.The normal yield of monitoring group was 51.6% higher than 41.1% in control group,the difference was statistically significant（P0.05）;Lateral tire smoke and the forceps delivery rate was significantly lower than the control group（P0.05）.Conclusion Emphasis should be early can lead to fetal distress risk factors,the correct application of fetal heart rate monitoring,mode of delivery to take appropriate timely termination of pregnancy.