孕中期及孕晚期胎儿羊水粪染与妊娠结局的分析  

Analysis of the Relationship Between Meconium Stained Amniotic Fluid at Metaphase and Advanced Stage Pregnancy and its Outcome

作　　者：纪妍[1] 林静吟[1] 欧惠娴[1] 

机构地区：[1]广东省惠州市中心人民医院产前诊断中心,广东惠州516001

出　　处：《河北医学》2009年第10期1146-1148,共3页Hebei Medicine

摘　　要：目的:探讨孕中期及孕晚期胎儿羊水性状与妊娠结局的关系。方法:回顾性分析400例孕中期行产前诊断的孕妇及同期晚期妊娠900例,分别检查胎儿羊水性状及粪染情况,并比较与妊娠结局关系。结果:孕中期羊水粪染发生率低,新生儿窒息率低,孕晚期羊水粪染发生率高,羊水粪染胎儿剖宫产率及出生窒息发生率、新生儿吸入性肺炎发生率均明显增高。结论:孕中期和孕晚期羊水粪染的主要原因可能不同,孕中期羊水粪染不能成为判断胎儿预后的重要指标,孕晚期羊水粪染是胎儿宫内窘迫的主要指标之一。Objective： To investigate the relationship between meconium stained amniotic fluid at metaphase and advanced stage of pregnancy and its outcome. Method： A retrospective study was performed,ineluding 400 metaphase pregnant women and 900 advanced stage pregnant women , inspecting the amniotic fluid of them and investigating the relationship between meconium stained amniotic fluid and outcome of preg nancy. Result： The rates of meconium stained amniotic fluid and neonatal asphyxia were low among metaphase pregnant women; the rates of uterine -incision delivery and neonatal asphyxia and aspiration pneumonitis of newborn were obviously higher in pregnancy of meconium stained amniotic fluid. Conclusion： The main reason was probably different about meconium stained amniotic fluid at metaphase and advanced stage of pregnancy. The meconium stained amniotic fluid at metaphase pregnancy can not serve as valuable indicators of fetal prognosis, The meconium stained amniotic fluid at advanced stage pregnancy can serve as one of the main valuable indicators of fetal distress in uterus.

关 键 词：羊水 产前诊断 妊娠结局 窒 息 胎儿窘迫 

分 类 号：R714.25[医药卫生—妇产科学]