羊水粪染对妊娠结局影响的临床分析

Clinical Analysis of Meconium Stained Amniotic Fluid Effects on Pregnancy Outcome

目的探讨羊水粪染对母儿妊娠结局的影响。方法选取我院在2010~2014年期间收治的832例羊水粪染患者为研究对象,通过研究患者羊水污染程度、胎心监护结果、孕周与胎粪吸入综合征诊断的相关性,分析羊水粪染对妊娠结局的影响,进行统计学处理。结果羊水粪染的发生率为21.9%,其中过期妊娠或早产儿的羊水粪染发生率显著高于足月产,对比差异显著（P〈0.05）有统计学意义;在电子监护异常和新生儿不良结局方面,Ⅲ度羊水粪染者显著高于Ⅰ度和Ⅱ度羊水粪染者（P〈0.05）,有统计学意义。结论临床上对于Ⅰ度和Ⅱ度羊水粪染胎儿要加强监护措施,无需过早干预,对于Ⅲ度羊水粪染胎儿应尽快娩出,避免造成新生儿不良结局。

Objective To explore the effect of meconium stained amniotic fluid on maternal and perinatal outcome of pregnancy.MethodsIn our hospital 832 cases of meconium stained amniotic fluid of patients as the research object,analysis of meconium stained amniotic fluid influence on pregnancy outcomes,statistical processing.ResultsThe incidence of meconium stained amniotic fluid was 21.9%,which expired pregnancy or preterm meconium staining incidence was significantly higher than that of ful-term,III degree of meconium stained amniotic fluid were significantly higher than that of I and II degrees of meconium stained amniotic fluid. Conclusion For I degrees and II degrees of fetal meconium stained amniotic fluid to strengthen monitoring measures,without the need for early intervention,for the III degree of meconium stained amniotic fluid should be delivered fetus as soon as possible,avoid adverse neonatal outcomes.