胎儿窘迫92例临床分析

Clinical Analysis of 92 Cases of Fetal Distress

目的:探讨发生胎儿窘迫的主要原因和妊娠结局,为其产妇分娩方式提供依据。方法:选取汕头市中心医院新生儿科自2017年1月至2017年7月收治来自产科的发生胎儿窘迫的患者共92例,对所有患者的临床资料进行回顾性分析,分析其发生原因和妊娠结局。结果:92例患者中共有29例是由于羊水因素,26例由于母体因素,18例由于胎盘因素,13例由于脐带因素,另有6例由于不明因素引起。且在发生胎儿窘迫的92例患者中,自然分娩42例,剖宫产分娩50例,剖宫产分娩在胎儿窘迫妊娠结局中占54.3%,略多于自然分娩。结论:胎儿窘迫发生因素多种多样,以羊水及母体因素占多数,分娩结局以剖宫产略多。医院要严格产前检查,做好高危新生儿的预警,以提高新生儿窒息复苏成功率。

Objective To explore the main causes of fetal distress and pregnancy outcome,to provide basis for future maternal delivery. Methods Fifty patients with fetal distress were enrolled in Shantou center hospital from January 2017 to June 2017,and the clinical data of 92 patients were retrospectively analyzed to analyze the causes and the outcome of pregnancy. Results A total of 29 of the 92 patients were due to amniocentesis, 26 due to maternal factors, 18 due to placental factors, 13 due to umbilical cord factors, and 6 due to unknown factors. Among the 92 patients with fetal distress, 42 cases were born naturally, 50 cases were delivered by cesarean section, and cesarean delivery was 54.3 % in the outcome of fetal distress pregnancy, slightly more than natural delivery.Conclusion There are many factors in fetal distress, with amniotic fl uid and maternal factors accounting for the majority, and the outcome of delivery is slightly more than cesarean section. The hospital should strictly check prenatal care, make early warnings for high-risk newborns, and even improve the success rate of neonatal asphyxia resuscitation.