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目的:探讨高海拔地区急性胎儿宫内窘迫和新生儿窒息的一种快速、方便、安全的药物治疗方法以及联合应用胎心监护(FHR)的合理途径。方法:治疗组40例产妇在第一产程及第二产程中连续观察胎心监护图变化,诊断胎儿宫内窘迫,立即给予静推纳络酮0.4mg;(30～120)min重复1次。对照组采取吸氧,左侧卧位处理。结果:治疗组用药后胎心监护图形恢复正常率显著高于对照组(P<0.01)。治疗组新生儿出生后Apgar评分为>7分,高于对照组(P<0.01)。结论:纳络酮治疗急性胎儿宫内窘迫是一种理想药物,作用迅速、安全、方便、值得产科临床推广应用。
Objective: To explore a fast, convenient and safe drug treatment for acute fetal distress and neonatal asphyxia in high altitude area and to explore a reasonable way to combine FHR. Methods: Forty maternal women in the treatment group were observed fetal heart rate changes in the first stage of labor and in the second stage of labor. The fetal distress was diagnosed immediately. The patients were given 0.4 mg intravenous push naloxone once a day for 30 to 120 minutes. Control group to take oxygen, left lateral decubitus treatment. Results: The recovery rate of fetal heart rate monitoring after treatment in the treatment group was significantly higher than that in the control group (P <0.01). The Apgar score of newborns in treatment group was> 7 points after birth, which was higher than that of control group (P <0.01). Conclusion: Naloxone treatment of acute fetal distress is an ideal drug with rapid, safe and convenient action and is worthy of popularization and application in obstetrics.