以胎儿窘迫为指征的剖宫产193例临床分析

Clinical Analysis of 193 Cesarean Section Cases of Fetal Distress as Indications

目的:分析193例以胎儿窘迫为手术指征的剖宫产的临床转归,以提高产前胎儿窘迫诊断的准确率。方法:将193例剖宫产分组分析,按照胎儿监护、羊水情况分为三组,将术中所见的胎儿窘迫及新生儿Apgar评分对照。结果:三组存在胎儿窘迫相关因素及新生儿窒息率情况比较差异无统计学意义。结论:诊断胎儿窘迫需要多方面因素综合判断,结合孕妇情况综合分析,以提高胎儿窘迫的诊断符合率,降低剖宫产率。

Abstract： Objective Analyze the clinical outcomes of the 193 cesarean section cases of fetal distress as indications,in order to improve the accuracy of prenatal diagnosis of fetal distress. Methods Analyse 193 cesarean section cases by grouping,193 cases are divided into three groups on the basis of fetal monitoring,amniotic fluid,the intraoperative findings of fetal distress and Apgar score in control. Results Three groups of fetal distress and neonatal asphyxia situation was no significant difference. Conclusions The diagnosis of fetal distress requires comprehensive j^dgment of the various factors,combined with a comprehensive analysis of pregnant women, the situation in order to improve fetal distress diaclnosis rate,lower rate of cesarean section.