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目的探讨胎儿生长受限(FGR)发生的相关因素,达到早发现、早诊断、早治疗,预防FGR的合并症及并发症。方法对292例FGR病例进行回顾性分析。结果292例中母体因素87例(29．8%),胎儿因素18例(6．2%),胎盘因素17例(5．8%),脐带因素58例(19．9%),无明确原因112例(38．0%)；阴道分娩组新生儿窒息24例,占41．4%,剖宫产组新生儿窒息24例,占10．3%,两组分娩方式差异有统计学意义。结论FGR的主要病因是母体因素,及时恰当地治疗妊娠合并症和并发症,适当放宽剖宫产指征,有利于降低FGR的后遗症。
Objective To investigate the related factors of fetal growth restriction (FGR), to achieve the early detection, early diagnosis, early treatment and prevention of complications and complications of FGR. Methods 292 cases of FGR were retrospectively analyzed. Results Among the 292 cases, there were 87 cases (29.8%) of maternal factors, 18 cases of fetal factors (6.2%), 17 cases of placental factors (5.8%) and 58 cases of umbilical cord factors (19.9% 112 cases (38.0%), 24 cases of neonatal asphyxia in vaginal delivery group (41.4%) and 24 cases of neonatal asphyxia in cesarean section group (10.3%), the differences of delivery mode between the two groups were statistically significant . Conclusion The main cause of FGR is maternal factors, timely and appropriate treatment of complications and complications of pregnancy, and appropriate relaxation of cesarean indications, is conducive to reduce the sequelae of FGR.