羊水胎粪污染与新生儿预后分析  

Analysis of Meconium Stained Amniotic Fluid and Neonatal Prognosis

作　　者：齐义元 

机构地区：[1]湖北省荆州市妇幼保健医院,湖北荆州434020

出　　处：《中国医学创新》2014年第23期68-71,共4页Medical Innovation of China

摘　　要：目的:探讨羊水胎粪污染与新生儿预后的关系。方法:对本院323例足月儿头位分娩时羊水粪染对新生儿的影响进行实例讨论。323例中发生新生儿窒息59例,发生率为18.27%,其中发生胎粪吸入综合征(MAS)1例。结果:新生儿结局与羊水胎粪污染程度的关系为:Ⅲ度粪染者新生儿窒息率的发生率明显增高,I度与Ⅲ度、Ⅱ度与Ⅲ度粪污染新生儿出生窒息差异均有统计学意义(P<0.05),但I度与Ⅱ度粪污染新生儿出生窒息差异无统计学意义(P>O.05)。结论:Ⅰ度与Ⅱ度粪染者应加强胎心电子监护,如果胎心监护正常,不需要进行特殊处理;如果胎心监护异常,应尽快终止妊娠或结束分娩,以免造成胎儿不良结局。Objective： To analyze the relationship between meconium stained amniotic fluid and neonatal prognosis.Method：323 cases of full-terminfant head intrapartum in our hospital were discussed on the influence of meconium stained amniotic fluid on newborn. 59 cases of neonatal asphyxia happened in 323 cases,the incidence rate was 18.27%,the occurrence of meconium aspiration syndrome（MAS）was 1 in the 59 cases.Result：The relationship between neonatal outcome and meconium stained amniotic fluid level was：the rate of neonatal asphyxia in third degree meconium strained were significantly increased,the birth asphyxia differences between first and third degree,second and third degree of fecal pollution were statistically significant（P〈0.05）,but the neonatal asphyxia of first and second degree fecal pollution had no significant difference（P〉0.05）.Conclusion：The cases of first degree and second degree meconium stained should be strengthened on electronic fetal monitoring.If the fetal heart monitoring is normal,there is no need for special treatment.If it’s abnormal,the pregnancy or delivery should be ended as soon as possible,so as to avoid the adverse outcome of fetus.

关 键 词：羊水胎粪污染 胎儿宫内窘迫 新生儿预后 

分 类 号：R714.4[医药卫生—妇产科学]