中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
26期
65-66
,共2页
胎儿宫内窘迫%胎儿监护%剖宫产
胎兒宮內窘迫%胎兒鑑護%剖宮產
태인궁내군박%태인감호%부궁산
fetal distress%fetal monitoring%cesarean section
目的：对胎儿宫内窘迫的诊断、发病原因、手术指征等进行探讨，以降低新生儿窒息率及围生儿死亡率，为胎儿宫内窘迫剖宫产指征提供可靠依据。方法：选取我科2011年2月～2013年10月符合胎儿宫内窘迫剖宫产的产妇165例，依据胎儿电子监护和羊水状态分3组，最后将术中所见胎儿窘迫原因与新生儿Apgar评分作对比。结果：3组的新生儿Apgar评分均≤7分，符合诊断标准，其中Ⅰ组中新生儿宫内窘迫发生率为6．39％，Ⅱ组中新生儿宫内窘迫发生率达到27．28％，Ⅲ组中新生儿宫内窘迫发生率为5．68％，Ⅱ组的发生率显著高于Ⅰ、Ⅲ组。结论：在同时伴有胎儿异常与羊水污染的情况下，胎儿宫内窘迫的发生率明显提高，须及时终止妊娠。只有其中一种情况出现时，可观察有无其它危险因素决定产妇的分娩方式。
目的：對胎兒宮內窘迫的診斷、髮病原因、手術指徵等進行探討，以降低新生兒窒息率及圍生兒死亡率，為胎兒宮內窘迫剖宮產指徵提供可靠依據。方法：選取我科2011年2月～2013年10月符閤胎兒宮內窘迫剖宮產的產婦165例，依據胎兒電子鑑護和羊水狀態分3組，最後將術中所見胎兒窘迫原因與新生兒Apgar評分作對比。結果：3組的新生兒Apgar評分均≤7分，符閤診斷標準，其中Ⅰ組中新生兒宮內窘迫髮生率為6．39％，Ⅱ組中新生兒宮內窘迫髮生率達到27．28％，Ⅲ組中新生兒宮內窘迫髮生率為5．68％，Ⅱ組的髮生率顯著高于Ⅰ、Ⅲ組。結論：在同時伴有胎兒異常與羊水汙染的情況下，胎兒宮內窘迫的髮生率明顯提高，鬚及時終止妊娠。隻有其中一種情況齣現時，可觀察有無其它危險因素決定產婦的分娩方式。
목적：대태인궁내군박적진단、발병원인、수술지정등진행탐토，이강저신생인질식솔급위생인사망솔，위태인궁내군박부궁산지정제공가고의거。방법：선취아과2011년2월～2013년10월부합태인궁내군박부궁산적산부165례，의거태인전자감호화양수상태분3조，최후장술중소견태인군박원인여신생인Apgar평분작대비。결과：3조적신생인Apgar평분균≤7분，부합진단표준，기중Ⅰ조중신생인궁내군박발생솔위6．39％，Ⅱ조중신생인궁내군박발생솔체도27．28％，Ⅲ조중신생인궁내군박발생솔위5．68％，Ⅱ조적발생솔현저고우Ⅰ、Ⅲ조。결론：재동시반유태인이상여양수오염적정황하，태인궁내군박적발생솔명현제고，수급시종지임신。지유기중일충정황출현시，가관찰유무기타위험인소결정산부적분면방식。
Objective: to diagnosis, fetal distress causes of morbidity, operation indications are discussed, in order to reduce the rate of neonatal asphyxia and perinatal mortality, fetal distress the indications for cesarean section and provide a reliable basis for.Methods: selected in our department from 2013 February -2014 year in October because of fetal distress for cesarean section in 165 cases, on the basis of electronic fetal monitoring and amniotic fluid state were divided into 3 groups, finaly wil see fetal distress and neonatal Apgar score compared with.Results: 3 groups of neonatal Apgar score ≤ 7, conforms to the diagnosis standard, the group Ⅰ in neonatal intrauterine distress occurrence rate is 6.39%, group I the intrauterine distress rate reached 27.28%, group Ⅲ in intrauterine distress rate was 5.68%, the incidence in group I was significantly higher than that in group Ⅰ, Ⅲ.Conclusion: in accompanied by abnormal fetal and amniotic fluid polution, incidence of fetal distress was obviously improved, shal timely termination of pregnancy. Only one kind of situation occurs, can be observed without other risk factors determine the maternal mode of delivery.
