羊水粪染胎儿急诊剖宫产决定至手术时间与新生儿出生结局的关系  

Decision-to incision interval and neonatal outcomes in cases of meconium stained amniotic fluid

作　　者：张元宝[1] 

机构地区：[1]马鞍山市妇幼保健院,243000

出　　处：《安徽医学》2011年第9期1238-1239,共2页Anhui Medical Journal

摘　　要：目的研究胎儿羊水粪染胎儿急诊剖宫产术从决定手术至切皮时间间期（DII）与新生儿结局的相关性,评估产科应急能力与新生儿预后的关系。方法对2008年1月至2010年2月在马鞍山妇幼保健院产科急诊行剖宫产术病例进行回顾性研究,比较不同DII时间段和新生儿不良结局的发生率。结果在本次研究的128例急诊剖宫产病例中,羊水II度以上粪染伴胎心改变122例（95.3%）,脐带脱垂2例（1.6%）,胎盘早剥4例（3.1%）,DII的分布范围为28-120 min,,病例分为DII≤75 min和DII〉75 min两组,两组间新生儿不良结局的发生率差异无统计学意义。结论 DII〉75 min组未发现新生儿不良结局增加。Objective To investigate the relation between decision-to incision interval of emergency cesarean section and neonatal outcomes in the cases of meconium stained amniotic fluid,assess the emergency obstetric response and neonatal prognosis.Methods 128 cases of meconium stained amniotic fluid undergoing emergency cesarean section during January 2008 to February 2010 in Maanshan MCH,（II or III degree of meconium-stained amniotic fluid with FHR changes,umbilical cord prolapse） in emergency cesarean section were studied retrospectively.Results 128 cases of meconium stained amniotic fluid undergoing emergency cesarean section,122 cases of II or III degree of meconium-stained amniotic fluid with FHR changes（95.3%） 2 cases of umbilical cord prolapse（1.6%） 4 cases of placenta abruption（3.1%）,DII ranges 28-120 min,there was no significant difference between groups of DII≤75 min and DII〉75 min.Conclusion No increase in neonatal adverse outcomes was found in group of DII〉75 min.

关 键 词：胎儿窘迫 时间间期 DII 新生儿结局 

分 类 号：R714.5[医药卫生—妇产科学] R719.8[医药卫生—临床医学]