胎儿生长受限相关因素分析与预防

Analysis and Prevention of Fetal Growth Restriction Related Factors

目的:探讨胎儿生长受限相关因素及防治措施。方法:综合评估130例FGR孕产妇病情,针对性治疗,动态监测,适时终止妊娠。同时收集并记录其相关病史、妊娠经过、分娩方式、妊娠结局和相关因素,进行分析。结果:FGR相关因素以母体因素占首位(38.5%),主要以妊娠并发症为主,其中妊娠高血压病占母体因素一半以上(52.0%);其次为脐带因素、胎盘因素,原因不明达29.2%;阴道分娩组胎儿窘迫率和新生儿窒息率明显高于剖宫产组,比较差异有统计学意义(P<0.01);新生儿窒息率及围生儿死亡率随新生儿体重增加而降低。结论:积极发现FGR相关因素,采取及时、有效、综合的防治措施,可有效降低新生儿窒息率及围生儿死亡率。

Objective：To discuss the related factors of fetal growth restriction and prevention measures.Method：Comprehensively assessed disease conditions of 130 cases of FGR maternal.Pertinence treating, dynamicly monitoring, timely terminated pregnancy.At the same time collected and recorded the relevant history, pregnancy process, mode of delivery, pregnancy outcome and related factors.Analysed them.Result：Maternal factors was the first rate that was 38.5% in all FGR factors, pregnancy complications were highest proportion, pregnancy induced hypertension accounted for more than half of maternal factors（52%）, followed by umbilical cord factors, placental factors, while the unknown cause accounted for 29.2%;the fetal distress and neonatal asphyxia rate of vaginal delivery group was significantly higher than the rate of cesarean section group, the differences were statistically different（P〈0.01）;the rate of neonatal asphyxia and perinatal mortality decreased with neonatal body weight increasing.Conclusion：Actively discover FGR related factors, take timely, effective, comprehensive prevention and control measures, which can effectively reduce the rate of neonatal asphyxia and perinatal mortality.