羊水污染、胎心监护与胎儿宫内缺氧及新生儿窒息的关系研究

Meconium, Fetal Heart Rate Monitoring and Fetal Hypoxia and Neonatal Asphyxia Relationship

目的:探讨羊水污染、胎心监护与新生儿窒息的关系。方法:回顾性分析120例羊水受到污染窒息新生儿的临床资料,并对其胎心监护情况进行观察。结果:新生儿窒息严重程度也随羊水污染程度加重;羊水污染发生在潜伏期所致新生儿窒息率高于在活跃期,差异具有统计学意义(P<0.05)。I度污染患者胎心监护异常率为33.33%,II度污染患者胎心监护异常率为54.76%,III度污染患者胎心监护异常率为83.33%,随着污染程度的加深,胎心监护异常率具有显著性差异(P<0.05)。结论:新生儿窒息发生率与羊水污染严重程度有密切关系,羊水污染污染越严重的患者其新生儿窒息发生率就越高,胎心监护异常率越高。对于重度羊水污染潜伏期新生儿窒息发生率高于活跃期新生儿窒息率,对羊水污染产妇进行密切的监护及观察,并及时对异常的患者采用合适的措施将有利于新生儿预后。

Objective：To investigate the meconium, fetal heart rate monitoring and neonatal asphyxia relationship. Methods：A retrospective analysis of 120 cases of amniotic fluid subject to the pollution choking newborn clinical data, and observed its fetal heart rate monitoring the situation. Results：The severity of neonatal asphyxia with the amniotic degree aggravated;meconium occurs due to the neonatal asphyxia higher than in the active period, the difference was statistically significant （P〈0.05） during the incubation period. I degree of pollution in patients with abnormal fetal heart rate monitoring rate of 33.33%, II degree of pollution in patients with fetal heart rate monitoring abnormal rate of 54.76%, 83.33%III degree of pollution in patients with abnormal fetal heart rate monitoring, with the deepening of the pollution levels, abnormal fetal heart rate monitoring rate had a significant difference （P〈0.05）. Conclusion：The neonatal asphyxia incidence and the severity of the amniotic closely related, the higher the more serious contamination of amniotic patients with neonatal asphyxia, the higher the rate of abnormal fetal heart rate monitoring. Will be beneficial for severe meconium incubation period of neonatal asphyxia high incidence of neonatal asphyxia in an active period amniotic maternal the close guardianship and observed, and promptly adopt appropriate measures for patients with abnormal neonatal outcomes.