摘要
目的:探讨以胎儿窘迫为指征而行剖宫产术诊断的准确性及手术的合理性。方法:对80例以胎儿窘迫为指征的剖宫产病例资料进行回顾性分析。结果:以胎儿窘迫为指征者占剖宫产总数的16.0%;两组胎心率重度异常、胎心率轻度异常伴羊水Ⅰ~Ⅲ度、胎心监护异常伴羊水Ⅰ~Ⅲ度的Apgar两种评分间有显著性差异(x^2=3.941、4.123、7.211、10.123、4.154、4.231,P<0.05或<0.01);A组胎儿窘迫相关因素及合并高危妊娠者明显高于B组(x^2=3.89,P<0.01)。结论:提高胎儿窘迫的诊断符合率,正确掌握剖宫产指征,降低剖宫产率。
Objective To study the correctness of diagnosis mad rationality of cesarean section which indication of fetal distress. Methods 80 cases with indication of fetal distress undergoing cesarean section were retrospectively analyzed. Results Fetal distress was the first indicatio of cesarean section werel6.0%; The Apgar scores between the two groups of severe fetal heart rate abnormalities,mild fetal heart rate abnormal with amniotic fluid of Ⅰ-Ⅲ degree,fetal heart rate monitoring abnormal with amniotic fluid of Ⅰ-Ⅲ degree were significant difference (χ2= 3.941 ,4. 123,7.211,10.123 ,4. 154,4.231 ,P〈0.05 -0.01 );The related factors of fetal distress combination with high-risk pregnancy in group A were significantly higher than that group B (χ2=3.89,P〈0.01).Conclusion Enhance diagnose accordance rate and understanding indications of ce- sarean section, to decrease the ratio of cesarean section in oatients with fetal distress
出处
《内蒙古中医药》
2011年第14期68-69,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
胎儿窘迫
剖宫产
诊断符合率
Fetal distress
Cesarean section
Diagnose accordance rate