围产期高危因素与胎儿窘迫相关性分析

Analysis of the correlation between high risk factors of perinatal period and fetal distress

目的分析围产期高危因素与胎儿窘迫的相关性。方法以本院产科接收的735例产妇作为研究对象(病例选取时间范围:2015年1月~2018年6月),收集整理735例产妇的病例资料,包括基本信息、各项检查结果等,分析胎儿窘迫的围产期高危因素。结果经单因素、多因素分析发现,胎儿窘迫的围产期高危因素包括:分娩方式(产钳助产)、胎位异常、脐带异常、羊水污染、胎盘异常、胎膜早破、24 h蛋白尿(≥3 g)、纤维蛋白原(≥3g/L)、出生体重(<2500 g)、妊娠期高血压(P<0.05)。结论导致胎儿窘迫的危险因素很多,要做好围产期的危险因素筛查工作,提高社会人口出生质量。

Objective To analyze the correlation between high risk factors of perinatal period and fetal distress.Methods 735 maternal patients received by obstetric department of our hospital were selected as subjects（case selection time range： January 2015-June 2018）.735 cases of maternal cases were collected and collected, including basic information and results of various tests. Analyze the risk factors for fetal distress during the perinatal period.Results After univariate and multivariate analysis, the risk factors for fetal distress during the perinatal period were as follows：delivery mode（force clamp force delivery）,abnormal fetal position, abnormal umbilical cord,amniotic fluid contamination, abnormal placenta, premature rupture of membranes, and 24 h proteinuria（≥3 g）,fibrinogen（≥3 g/L）, birth weight（2500 g）, pregnancy-induced hypertension（p 0.05）.Conclusion There are many risk factors that cause fetal distress. We must do a good job in the screening of risk factors in the perinatal period to improve the birth quality of the social population.