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目的探讨胎儿窘迫的相关因素,提出护理对策,降低围生儿死亡率。方法将325例足月分娩胎儿窘迫的住院病例进行回顾性分析。结果325例胎儿窘迫的相关因素分别是脐带因素占48.31%,胎盘因素占18.46%,羊水因素占11.38%,母体因素占3.69%,胎儿因素占2.77%,产力因素占6.46%,原因不明占8.92%。分娩方式对胎儿窘迫发生率有较大影响,以臀位助产发生率最高(P<0.01)。结论胎儿窘迫的发生是多项因素作用的结果,应加强对这些相关因素的控制,从而降低围生儿病率和围生儿死亡率。
Objective To investigate the related factors of fetal distress and propose nursing countermeasures to reduce perinatal mortality. Methods A retrospective analysis of 325 cases of fetal distress in full-term delivery was carried out. Results The related factors of fetal distress in 325 cases were 48.31% for umbilical cord, 18.46% for placenta, 11.38% for amniotic fluid, 3.69% for maternal factor, 2.77% for fetal factor and 6.46% for productive factor, for unexplained accounts 8.92%. Mode of delivery has a greater impact on the incidence of fetal distress, the highest incidence of breech delivery (P <0.01). Conclusion The occurrence of fetal distress is the result of many factors. The control of these related factors should be strengthened to reduce the incidence of perinatal and perinatal mortality.