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目的:观察产妇临产前胎儿宫内窘迫临床指征,总结导致胎儿发生宫内窘迫的主要因素,为有效降低胎儿宫内窘迫、提高围生儿存活率提供临床依据。方法:回顾性分析我院2011年6月至2014年6月85例临产前发生胎儿宫内窘迫产妇临床资料,记录胎儿窘迫发生时间、羊水状态、胎心率及产程,并对结果做详细分析。结果:将胎心率、羊水胎粪污染及胎动异常作为观察项目,发现导致产妇临产前发生胎儿宫内窘迫的主要因素为:1羊水因素(36例/42.4%);2脐带因素(19例/22.3%);3胎盘因素(13例/15.3%);4产程异常(11例/12.9%);5高危妊娠(6例7.1%)。结论:正确掌握临产前胎儿宫内窘迫临床指征,选择适宜方法进行对症处理,并根据产妇实际情况选择合理分娩方式,能够减少新生儿窒息率,提高围生儿抢救率。
OBJECTIVE: To observe the clinical indications of preterm labor fetal distress and to summarize the main factors leading to intrauterine distress in fetus, so as to provide a clinical basis for effectively reducing fetal distress and improving the survival rate of perinatal fetus. Methods: The clinical data of 85 cases of fetal distress before labor in our hospital from June 2011 to June 2014 were retrospectively analyzed. The time of fetal distress, amniotic fluid status, fetal heart rate and labor process were recorded. The results were analyzed in detail . Results: Fetal heart rate, amniotic fluid meconium contamination and fetal movement abnormalities were observed as the main items that led to the occurrence of fetal distress before labor: 1 amniotic fluid factors (36 cases /42.4%); 2 umbilical cord factors (19 cases / 22.3%); 3 Placenta factors (13 cases / 15.3%); 4 Labor disorders (11 cases / 12.9%); 5 High risk pregnancies (6 cases 7.1%). Conclusion: To correctly understand the clinical indications of pre-natal fetal distress and to choose the appropriate method for symptomatic treatment and to choose the mode of reasonable delivery according to the actual situation of the mother can reduce neonatal asphyxia and improve the rate of perinatal rescue.