羊水胎粪污染与脐动脉血气分析临床研究  

Clinical Analysis of Amniotic Fluid Contamination and Umbilical Arterial Blood

作　　者：王勉勉[1] 吕杰强[2] 

机构地区：[1]温州医科大学附属定理医院,温州325000 [2]温州医科大学附属第二医院

出　　处：《数理医药学杂志》2016年第6期805-806,共2页Journal of Mathematical Medicine

摘　　要：目的：分析不同程度羊水污染的动脉血气.方法：选取温州中心医院2014年1月～12月分娩的新生儿,I度污染100例、Ⅱ度污染96例、Ⅲ度污染80例,与正常120例对照其血气分析结果.结果：III度羊水组pH、BE、PaO2、PaCO2值均与正常组有明显差异,存在统计学意义（P〈0.05）;I度羊水组pH、BE、PaO2、PaCO2值均与正常组无明显差异,无统计学意义（P〉0.05）;II度羊水组中PH、BE 值与正常组无统计意义（P〉0.05）,PaO2、PaCO2与正常组有统计学意义（P〈0.05）.结论：II度和III度羊水污染的动脉血气有差异,指导不同的产科处理.Objective:To investigate the correlation between different levels of amniotic fluid contamination and arterial blood gas.Methods:Select newly-born babies from January 2014 to December 2014 in a hospital.The blood gas analysis results of 96 cases of I degree contamination,100 cases of second degree contamination,80 cases of third degree pollution contamination,and 120 cases of normal control were selected.Results:Potential of hydrogen(pH),base excess(BE),arterial partial pressure of oxygen(PaO_2)and rarterial partial pressure of carbondioxide(PaCO_2)values of III degree amniotic fluid contamination group were significantly different from those of the normal group,and their differences had statistical significance(P<0.05).pH、BE、PaO_2、PaCO_2of I degree amniotic fluid contamination group were not significantly different from those of the normal group,and their differences had no statistical significance(P>0.05).pH、BE of II degree amniotic fluid contamination group had no statistical significance from the normal group(P>0.05),PaO_2、PaCO_2had statistical significance from the normal group(P<0.05).Conclusion:there were differences between II degree and III degree of amniotic fluid contamination of arterial blood,which can offer guide for different obstetric treatment.

关 键 词：羊水污染 血气分析 新生儿窒息 

分 类 号：R714.7[医药卫生—妇产科学]