227例分娩期胎儿窘迫临床分析

227 cases of clinical analysis of intrapartum fetal distress

目的:探讨分娩期胎儿宫内窘迫的有关因素及处理方法。方法:回顾性分析227例分娩期胎儿宫内窘迫的有关因素。结果:227例胎儿宫内窘迫的有关因素分别为:脐带因素占26.9%,胎盘因素占8.8%,羊水因素占19.8%,母体因素占5.3%,产力因素占21.6%,胎儿自身因素占4.8%,原因不明占12.8%。结论:胎儿宫内窘迫受多种因素影响,一旦发生对胎儿及新生儿影响较大,加强在分娩期对胎儿的监护,能及时发现,正确诊断及处理胎儿窘迫,有助于降低新生儿窒息的发生率,从而有效提高新生儿预后。

The objective of this article is to investigate the related factors and treatment methods of intrapartum fetal distress. A retrospective analysis of 227 cases of intrapartum fetal distress related factors was given and the result is presented below. Among the 227 fetal distress cases, 26.9% of them were attributed to umbilical cord factors, 21.6% were due to uterine action, while 19.8% can be explained by amniotic fluid factors. Other reasons include placental factors accounting for 8.8%, maternal factors accounting for 5.3% and fetus physical condition accounting for 4.8%. The causes of the remaining 12.8% cases are still unknown.To summarize, fetal distress can be ascribed to various factors and its occurrence may have serious impacts on fetus and the newborn. The improvement in monitoring and nursing of intrapartum fetus is an effective method of diagnosing and treating fetal distress timely and correctly, which can reduce the incidence of neonatal asphyxia, hence improves the prognosis of newborn infants.