羊水污染对胎儿危害分析与处理方法的探讨  

Exploration of amniotic fluid pollution on fetal harm analysis and han-dling method

作　　者：蔡春燕 

机构地区：[1]广东省阳东县妇幼保健院妇产科,广东阳东529931

出　　处：《中国当代医药》2015年第17期73-75,共3页China Modern Medicine

摘　　要：目的探讨羊水污染对胎儿的危害及临床处理方法。方法 2012年3月-2013年3月在本院产科足月分娩的产妇共2952例,其中剖宫产968例（32.79%）,经阴道分娩1984例（67.21%）,选取其中发生羊水污染的263例（8.91%）产妇作为研究对象,分析羊水污染对胎儿的影响及其相应的临床处理措施。结果Ⅰ度羊水污染的新生儿窒息率为9.78%,Ⅱ度羊水污染的新生儿窒息率为14.29%,Ⅲ度羊水污染的新生儿窒息率为21.74%,Ⅰ度羊水污染的新生儿窒息率显著低于Ⅱ度和Ⅲ度（P〈0.05）。第1产程潜伏期发生Ⅱ度、Ⅲ度羊水污染,其胎儿窘迫率为32.14%（18/56）,新生儿窒息率为21.43%（12/56）;第1产程活跃期发生Ⅱ度、Ⅲ度羊水污染,其胎儿窘迫率为21.74%（5/23）,新生儿窒息率为4.35%（1/23）,潜伏期与活跃期比较,差异有统计学意义（P〈0.05）。结论羊水污染与胎儿窘迫及新生儿窒息密切相关,对胎儿具有较大危害,针对羊水污染采取相应的临床处理措施,有助于保障围生儿生命安全。Objective To explore the amniotic fluid pollution on fetal harm and clinical handling method. Methods From March 2012 to March 2013,there were 2952 puerperae of maternal labor in department of obstetrical in our hospital,among these participants,968 puerperae（32.79%） was given cesarean section,1984 puerperae（67.21%） was given through vaginal delivery.There were 263 out of 2952 puerperae which took 8.91% occurredwith amniotic fluid pollution were selected as research objects.Influence of amniotic fluid pollution on fetus and the corresponding treatment in clinic was analyzed. Results Incidence of neonatal asphyxia in degree Ⅰ amniotic fluid pollution was 9.78%,14.29% in degree Ⅱ,and 21.74% in degree Ⅲ.Incidence of amniotic fluid pollution in degree Ⅰ was greatly less than that of degreeⅡ and degree Ⅲ（P〈0.05）.During latent period, incidence of fetal distress in uterus due to degree Ⅱ and Ⅲ was32.14%（18/56）,and occurrence rate of neonatal asphyxia was 21.43%（12/56）.However,incidences of fetal distress in uterus due to amniotic fluid pollution degree Ⅱ and Ⅲ and neonatal asphyxia was 21.74%（5/23） and 4.35%（1/23） in active phase respectively.Incidences during latent period was obviously higher than those in active phase with statistical differences（P 0.05）. Conclusion Amniotic fluid pollution is closely associated with fetal distress in uterus and incidence of neonatal asphyxia,it had greater harm to the fetus.Application of the corresponding measures in clinic to treat amniotic fluid pollution is beneficial to guarantee perinatal infant′s life safety.

关 键 词：羊水污染 胎儿危害 处理方法 

分 类 号：R722.12[医药卫生—儿科]