羊水胎粪污染与新生儿窒息临床分析

Clinical analysis of meconium stained amniotic fluid and asphyxia neonatorum

目的针对羊水胎粪污染和新生儿窒息的临床关系进行分析探讨。方法本文通过对分娩期生产程中230例新生儿窒息的产妇进行临床观察,按病情程度分为轻、重度两组,随时观察每组胎儿窘迫窒息的发生情况,以生后1minApgar评分为标准,密切观察产妇生产产程中羊水粪染时间和新生儿窘迫窒息的关系。结果胎儿窘迫窒息的发生率重度羊水粪染组明显高于轻度组。研究中发现新生儿窒息率在羊水粪染的潜伏期最高。与活跃期相比两者差异有统计学意义(P<0.01)。结论羊水粪染程度和时间与新生儿预后和羊水粪染的程度和时间关系紧密,孕妇分娩过程中新生儿一旦发生窒息窘迫应尽快结束分娩。

Objective To investigate and analyze the clinical relationship between meconium-stained amniotic fluid and asphyxia neonatorum. Methods The clinical observation of intrapartum asphyxia by production process of 230 cases of neonatal maternal, according to the illness were divided into mild, two severe group were observed the occurrence of fetal distress, asphyxia at any time to 1 minutes after birth, Apgar score standard, close observation of maternal production relations of production process of meconium- stained amniotic fluid and time the newborn suffocates poverty-stricken. Results Fetal distress and asphyxia rate of severe meconium stained amniotic fluid group was significantly higher than that of the mild group. Found that the rate of neonatal asphyxia in meconium stained amniotic fluid was the highest in the study. Compared with the active period had significant difference （P〈0.01）. Conclusion The relationship between the degree and time of meconium stained amniotic fluid and the degree of time and neonatal prognosis and meconium stained amniotic fluid of pregnant women during childbirth closely, neonatal asphyxia distress should end once delivery as soon as possible.