论文部分内容阅读
目的:分析和探讨羊水污染与胎儿宫内窘迫及新生儿窒息的关系,总结其临床意义。方法:回顾性分析2012年6月至2013年6月来我院进行产检的孕妇175例,根据孕妇羊水的污染程度将其分为I度污染组、Ⅱ度污染组和Ⅲ度污染组,分析不同分组的产妇发生胎儿宫内窘迫以及新生儿窒息的情况。结果:I度污染组新生儿无窒息的有56例,轻度窒息的有1例,没有重度窒息的新生儿,窒息发生率为1.75%,胎儿宫内窘迫1例,胎儿宫内窘迫发生率为1.75%;Ⅱ度污染组新生儿无窒息的有58例,没有轻度窒息的新生儿,重度窒息的有1例,窒息发生率为1.69%;,胎儿宫内窘迫4例,胎儿宫内窘迫发生率为6.78%;Ⅲ度污染组新生儿无窒息的有51例,轻度窒息的有7例,重度窒息的有1例,窒息发生率为13.56%,胎儿宫内窘迫35例,胎儿宫内窘迫发生率为59.32%,不同程度羊水污染组的新生儿窒息率和胎儿窘迫发生率具有显著性差异。羊水污染越严重,新生儿窒息和胎儿宫内窘迫的发生率越高。结论:临床上通过加强产程观察,及时发现羊水污染的情况,并根据羊水污染的程度判断胎儿宫内的情况,及时处理,降低新生儿窒息率,具有重要的临床意义,值得临床借鉴和推广。
Objective: To analyze and discuss the relationship between amniotic fluid pollution and fetal distress and neonatal asphyxia, and summarize its clinical significance. Methods: A total of 175 pregnant women who came to our hospital from June 2012 to June 2013 were retrospectively analyzed. According to the degree of amniotic fluid contamination in pregnant women, they were divided into I degree pollution group, Ⅱ degree pollution degree and Ⅲ degree pollution group Different groups of maternal fetal distress and neonatal asphyxia. Results: There were 56 asphyxia, 1 asphyxia, 1 asphyxia, 1.75% of asphyxia, 1 case of fetal distress, 1 case of fetal distress Was 1.75%. There were 58 asphyxia neonates without secondary asphyxia, 1 asphyxia without neonatal asphyxia, 1 asphyxia with asphyxia, 1.69% with asphyxia, 4 with fetal distress, The incidence of distress was 6.78%. There were 51 asphyxia, 3 asphyxia, 7 asphyxia, 1 asphyxia, 13.56 asphyxia, 35 asphyxia, The incidence of intrauterine distress was 59.32%, with varying degrees of amniotic fluid contamination neonatal asphyxia and fetal distress rates were significantly different. The more severe amniotic fluid pollution, the higher the incidence of neonatal asphyxia and fetal distress. Conclusions: It is of clinical importance to find out the status of amniotic fluid contamination in time by strengthening the observation of labor process and judging the status of fetus in accordance with the degree of amniotic fluid contamination. It is of great clinical significance and worthy of clinical reference and promotion.