探讨胎儿宫内窘迫160例剖宫产诊治分析.docVIP

精品论文 参考文献 探讨胎儿宫内窘迫160例剖宫产诊治分析 刘晓静 　　（新疆库车县人民妇产科 842000） 　　【摘要】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le;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。 　　【关键词】胎儿宫内窘迫 胎儿监护 剖宫产 　　【中图分类号】R719 【文献标识码】A 【文章编号】1672-5085（2014）26-0065-02 　　【Abstract】 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, finally will see fetal distress and neonatal Apgar score compared with.Results: 3 groups of neonatal Apgar score le; 7, conforms to the diagnosis standard, the group Ⅰ in neonatal intrauterine distress occurrence rate is 6.39%, group II the intrauterine distress rate reached 27.28%, group Ⅲ in intrauterine distress rate was 5.68%, the incidence in group II was significantly higher than that in group Ⅰ, Ⅲ.Conclusion: in accompanied by abnormal fetal and amniotic fluid pollution, incidence of fetal distress was obviously improved, shall timely termination of pregnancy. Only one kind of situation occurs, can be observed without other risk factors determine the maternal mode of delivery. 　　【Key words】fetal distress fetal monitoring cesarean section 　　胎儿宫内窘迫定义为胎儿在母体内因急性或慢性缺血缺危及其健康和生命的氧而导致的综合征，严重者可出现永久性神经损伤后遗症甚至死亡，发病率约为2.7％～38.8％[1-2]。胎儿宫内窘迫处理的时机，是围生期婴儿的预后好坏的关键，临床中早期诊断和及早采取干预措施，能有效降低新生儿窒息率及围生儿死亡率。笔者选取2011年2月～2013年10月符合胎儿宫内窘迫剖宫产指征的165例病例，分析各项资料结果