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目的 :探讨羊水粪染与新生儿窒息的关系。方法 :对 68例孕妇年龄 2 3～ 3 5岁 ,孕龄 3 7～ 42周的窒息新生儿进行分组 :新生儿轻度窒息组及新生儿重度窒息组 ,对其羊水状况、胎心电子监护进行临床分析。结果 :新生儿重度窒息组为Ⅲ度羊水粪染比例高 ,新生儿轻度窒息组为Ⅰ度、Ⅱ度羊水粪染比例高 (P <0 0 5 ) ;Ⅲ度羊水粪染者胎心电子监护的异常发生率显著高于Ⅰ度、Ⅱ度羊水粪染者 (P <0 0 1) ;胎心电子监护对新生儿窒息的阳性预测率为 3 3 3 3 % ( 15 / 45 )。结论 :羊水粪染与新生儿窒息密切相关 ,胎心电子监护对羊水粪染致使新生儿窒息的诊断有较高的临床价值 ,有利于采取及时有效的措施 ,从而降低新生儿窒息的发生率 ,提高产科质量。
Objective: To investigate the relationship between meconium-stained amniotic fluid and neonatal asphyxia. Methods: Sixty-eight pregnant women with asphyxia of 23 to 35 years and gestational age of 37 to 42 weeks were divided into groups: mild neonatal asphyxia group and severe neonatal asphyxia group. Their amniotic fluid status, fetal heart rate monitoring Perform clinical analysis. Results: Neonatal severe asphyxia group had a high proportion of Ⅲ degree amniotic fluid meconium staining, Ⅰ degree of neonatal mild asphyxia group and Ⅱ amniotic fluid meconium staining rate (P0 05) The incidence of abnormality of guardianship was significantly higher than those of grade Ⅰ and Ⅱ degrees of amniotic fluid (P <0.01). The positive predictive value of fetal heart monitoring for neonatal asphyxia was 3333% (15/45). Conclusion: Meconium amniotic fluid and neonatal asphyxia are closely related to the fetus heart electronic monitoring of amniotic fluid dyed neonatal asphyxia diagnosis has a higher clinical value, is conducive to take timely and effective measures to reduce the incidence of neonatal asphyxia, Improve obstetric quality.