胎儿猝死的病因及预防对策探讨  

Study on cause and preventive measures of sudden fetal death

作　　者：胡绍梅 

机构地区：[1]重庆市彭水县人民医院,重庆彭水409600

出　　处：《医学信息（中旬刊）》2011年第6期2561-2563,共3页Medical Information Operations Sciences Fascicule

摘　　要：目的:探讨胎儿猝死的发生原因及预防措施。方法:回顾性分析1997年1月至2010年12月住院期间发生胎儿猝死患者53例。结果:2004～2010年胎儿猝死的发生率3.88%(14/3606),较1997～2003年的发生率13.08%(39/2980)明显降低(P<0.05)。妊娠期高血压疾病、脐带因素所致胎儿猝死率呈下降趋势,而妊娠期肝内胆汁淤积症(Intrahepatic cholestasis of pregnancy,ICP)所致的胎儿死亡数明显增加。胎儿猝死与产前检查次数、B超及胎儿监护的使用有关。结论:重视孕期保健和B超检查,对高危妊娠加强胎儿监护,可有效减少胎儿猝死的发生。Objective：To discuss the cause and preventive measures of sudden fetal death. Methods：Retrospective analysis was made in 53 cases of sudden fetal death from January, 1997to December,2010 in our hospital. Results：The morbidity of sudden fetal death from 2004 to 2010 （3.88% , 14/3606） was significandy lower than that from 1997 to 2003 （ 13.08% ,39/2980） ） （ P 〈0.05 ）. The morbidity of fetal death caused by hypertensive disorder complicating pregnancy and abnormality of umbilical cord decreased ,but it increased in intrahepatic eholestasis of pregnancy. Reduced sudden fetal death was associated with prenatal care,ultrasonography examination and antepartum fetal heart rate monitoring. Conclusions：Emphasizing antenatal care, ultrasonography examination and antepartum fetal monitoring especially in high - risk pregnancy can effectively reduce the morbidity of sudden fetal death.

关 键 词：胎儿 猝死 病因 高危妊娠 

分 类 号：R714.433[医药卫生—妇产科学]