羊水粪染的羊水置换与新生儿预后  

The replacement treatment of meconium-stained amniotic fluid and the neonatal prognosis.

作　　者：卢丽娜[1] 康佳丽[1] 张玉洁[1] 朱宝馀[1] 杨美英[1] 

机构地区：[1]广州市第一人民医院妇产科,510180

出　　处：《中国实用妇科与产科杂志》2000年第8期471-473,共3页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：广州市科委重点科研项目基金资助!(编号 :96-2 -69-2 )

摘　　要：目的　对Ⅱ度以上羊水粪染的孕妇行羊水置换 ,旨在改善新生儿预后。方法　 32例采用自行设计的三通管装置和置换液行羊水置换 ,作研究组 ,另 30例作对照组 ,进行对比分析。结果　新生儿窒息率、胎粪吸入综合征发生率、脐血及股动脉血血气分析等 ,研究组与对照组对比有显著性差异 (P <0 0 1)。产褥病率两组无明显差异 (P >0 0 5 )。两组各自脐静脉和股动脉血血气分析对比无显著性差异 (P >0 0 5 )。结论　羊水粪染行羊水置换 ,可改善新生儿预后。Objective In order to improve the prognosis of the newborns,the amniotic fluid replacement treatment was performed on pregnant women with moderate to severe meconium-stained amniotic fluid.Methods 32 cases as study group were performed amniotic fluid replacement through the instruments and fluid designed by ourselves.The others(30 cases) were as control group.Results There were significant differences(P<0 01) in neonatal asphyxia rate,the morbidity of meconium aspiration syndrome and the results of cord blood and femoral blood gas analysis between the two groups.There was no significant difference in puerperal morbidity,and in the results of blood gas analysis between umbilical vein and femoral artery(P>0 05,P>0 05).Conclusion The replacement treatment of meconium-stained amniotic fluid can improve the prognosis of newborns.

关 键 词：羊水粪染 羊水置换 新生儿 预后 

分 类 号：R714.43[医药卫生—妇产科学] R714.468[医药卫生—临床医学]