以胎儿窘迫为指征的剖宫产166例分析

Analysis of 166 Cases of Cesarean Section With Fetal Distress

目的探讨胎儿窘迫的诊断指标和相关因素,旨在及时给予处理措施,以降低剖宫产率。方法分析166例以胎儿窘迫为指征行剖宫产病例,按胎儿窘迫的不同诊断指标进行分组,统计其新生儿窒息率及胎儿窘迫相关因素百分率。结果 (1)随着胎儿窘迫诊断指标项目的增多,发现检出的新生儿窒息率和胎儿窘迫相关因素百分率也相应升高。(2)胎儿窘迫的主要相关因素为脐带因素、羊水因素、胎盘因素等。结论胎儿窘迫应根据多项指标综合判断,针对各类因素应密切监护、积极处理、适时行剖宫产术。

Objective To evaluate the diagnostic indicator of fetal distress and related factors, reduce the cesarean section rate. Methods 166 cases with indications of fetal distress cesarean section cases, according to different diagnostic indicator of fetal distress group compared statistics of neonatal asphyxia rate and the percentage of fetal distress related factors, and statistics for each percentage of fetal distress related factors. Results（1） With the increase in the diagnosis of fetal distress indicators project found that the detection of fetal distress and neonatal asphyxia related factors increased the percentage accordingly.（2） The main factors fetal distress factor for umbilical cord, amniotic fluid factors, placental factors. Conclusion Fetal distress should be according to the comprehensive index judgment, for all kinds of factors should be closely monitoring line, active treatment, timely cesarean section.