胎儿宫内窘迫的临床研究

Intrauterine fetal distress clinical research

目的探讨胎儿宫内窘迫发生的原因,从而提高诊治质量。方法对我院2009年4至2010年4月住院的胎儿宫内窘迫患者53例的临床资料进行回顾性分析。结果脐带因素是胎儿窘迫的主要原因。胎心异常者与羊水Ⅲ度粪染者相比,差异有显著性(P<0.05)。胎心异常者与胎心异常+羊水Ⅲ度粪染者相比,差异有非常显著性(P<0.01)。结论羊水粪染程度和胎儿缺氧时间与新生儿窒息的发生关系最大,对其进行及时观察,尽早实施有效措施改善缺氧,可以大大降低新生儿窒息率。

Objective Intrauterine fetal distress cause of the diagnosis and treatment,so as to improve the quality. Methods The clinical 2009 ～ 2010 April 4 patients hospitalized within the fetal distress of 53 cases were analyzed retrospectively. Results The cord factors are the main cause fetal distress. TaiXin distribution and amniotic fluid Ⅲ degree,compared to the dung,there was significant difference （ P 0. 05） . TaiXin distribution and TaiXin abnormal ＋ amniotic fluid Ⅲ degree,compared to the dung have very significant difference （ P 0. 01） . Conclusion Amniotic fluid dung and fetal oxygen dyed with neonatal asphyxia time between maximum,carries on the observation,timely and effective measures to improve oxygen as soon as possible,can greatly reduce the neonatal asphyxia rate.