胎儿宫内窘迫226例分娩方式调查分析

Investigation analysis on delivery mode of 226 fetal distress fetuses

目的探讨围生期宫内复苏对宫内窘迫孕妇分娩方式的选择及围生儿预后的影响。方法回顾性分析我科分娩的226例宫内窘迫孕产妇临床资料,根据诊治和护理方式分为观察组130例,对照组96例。对照组给予常规诊治及护理,观察组给予孕妇及新生儿系统地综合性积极干预,比较两组剖宫产率及新生儿窒息率的情况。结果与对照组相比,观察组孕妇剖宫产率及新生儿窒息发生率明显降低(P<0.05),新生儿Apgar评分明显升高(P<0.05)。结论宫内窘迫孕产妇早期诊断及早期综合性宫内复苏可显著降低孕妇剖宫产率和围生期母婴不良事件的发生率。

Objective Study the influence on distressre towards prognosis and delivery mode choice of fetal distress fetuses in perinatal period. Methods Retrospectively studied intrauterine distress maternal clinical data of 226 fetal distress fetuses, divided them into observation group（130 cases） and control group（96 cases） according to the diagnosis and treatment. The rates of cesarean delivery and neonatal asphyxia were compared in two groups after the control group given conventional treatment and nursing and the observation group given systematically comprehensive interventions in the pregnant women and newborns. Results Compared with the control group, the rates of cesarean delivery and neonatal asphyxia were significantly reduced（P〈0.05）, the Apgar scores of newborns were significantly risen. Conclusion Early diagnosis and intrauterine comprehensive recovery in intrauterine distress maternal women can reduce the rate of cesarean delivery and the incidence of adverse events with mothers and infants in the perinatal period.