胎儿宫内窘迫78例临床分析  

Clinical Analysis of 78 Cases of Fetal Distress

作　　者：张琼[1] 

机构地区：[1]云南省曲靖市第一人民医院妇产科,云南曲靖655000

出　　处：《中国医药指南》2013年第8期43-44,共2页Guide of China Medicine

摘　　要：目的对78例胎儿宫内窘迫的患者进行临床回顾性分析,探讨胎儿宫内窘迫的病因,争取早期诊断、早期处理后降低围产期胎儿及新生儿的病死率。方法收集本院2011年12月至2012年10月以胎儿宫内窘迫收住院的患者作为研究对象,分析并总结胎儿宫内窘迫原因及临床表现。结果胎儿宫内窘迫常见病因包括脐带异常、胎膜早破、胎位异常、过期妊娠、前置胎盘等多种妊娠并发症及合并症;78例患者中,56例表现不同程度的胎心异常,胎动异常为27例,21例表现为羊水Ⅱ°~Ⅲ°污染;产程观察中发现经阴道分娩新生儿发生窒息率比剖宫产分娩新生儿发生窒息率高。结论加强产时的产程监护,早期诊断胎儿宫内窘迫,适时终止妊娠,有效的预防胎儿及新生儿围产期死亡。Objective On 78 cases of fetal distress in uterus of patients were analyzed retrospectively, discuss the etiology of intrauterine fetal distress, strive for early diagnosis, early treatment to reduce perinatal fetal and neonatal mortality. Methods Collecting the hospital from 2011.12 ~2012.10 to fetal distress in hospitalized patients as research object, analyze and summarize the causes and clinical manifestations of fetal intrauterine distress. Results Fetal distress common etiologies include umbilical cord abnormalities, premature rupture of membranes, abnormal fetal position, prolonged pregnancy, placenta and other pregnancy complications and comorbidities; in 78 cases, 56 cases showed different degrees of fetal heart abnormalities, abnormal fetal movement for 27 cases, 21 cases showed II -IlI ~sheep water pollution; observation of birth process found in vaginal delivery neonate asphyxia rate than cesarean deliveries the occurrence of neonatal asphyxia rate. Conclusion Strengthen the production of the production process monitoring, early diagnosis of fetal distress, timely termination of pregnancy, effective in the prevention of fetal and neonatal perinatal death.

关 键 词：胎儿 宫内窘迫 临床分析 

分 类 号：R714.5[医药卫生—妇产科学]