胎儿宫内窘迫226例分娩方式调查分析.docVIP

胎儿宫内窘迫226例分娩方式调查分析 　　[摘要] 目的 探讨围生期宫内复苏对宫内窘迫孕妇分娩方式的选择及围生儿预后的影响。 方法 回顾性分析我科分娩的226例宫内窘迫孕产妇临床资料，根据诊治和护理方式分为观察组130例，对照组96例。对照组给予常规诊治及护理，观察组给予孕妇及新生儿系统地综合性积极干预，比较两组剖宫产率及新生儿窒息率的情况。 结果 与对照组相比，观察组孕妇剖宫产率及新生儿窒息发生率明显降低（P0.05），新生儿Apgar评分明显升高（P0.05）。 结论 宫内窘迫孕产妇早期诊断及早期综合性宫内复苏可显著降低孕妇剖宫产率和围生期母婴不良事件的发生率。 　　[关键词] 胎儿宫内窘迫；剖宫产；新生儿窒息；调查分析 　　[中图分类号] R714 [文献标识码] A [文章编号] 2095-0616（2013）24-45-02 　　Investigation analysis on delivery mode of 226 fetal distress fetuses 　　LI Juan1 LIN Yerong1 CHEN Hui1 ZHANG Lan1 ZOU Shuangyou1 YIN Jing1 　　YU Yigang2 　　1.Department of Obstetrics and Gynecology， the 175th Hpspital of PLA， Affiliated Dongnan Hospital of Xiamen University， Zhangzhou 363000， China； 2.Department of Neurosurgery， the 175th Hpspital of PLA ， Affiliated Dongnan Hospital of Xiamen University， Zhangzhou 363000， China 　　[Abstract] Objective Study the influence on distressre towards prognosis and delivery mode choice of fetal distress fetuses in perinatal period. Methods Retrospectively studied intrauterine distress maternal clinical data of 226 fetal distress fetuses， divided them into observation group（130 cases） and control group（96 cases） according to the diagnosis and treatment. The rates of cesarean delivery and neonatal asphyxia were compared in two groups after the control group given conventional treatment and nursing and the observation group given systematically comprehensive interventions in the pregnant women and newborns. Results Compared with the control group， the rates of cesarean delivery and neonatal asphyxia were significantly reduced（P0.05）， the Apgar scores of newborns were significantly risen. Conclusion Early diagnosis and intrauterine comprehensive recovery in intrauterine distress maternal women can reduce the rate of cesarean delivery and the incidence of adverse events with mothers and infants in the perinatal period. 　　[Key words] Fetal distress； Cesarean delivery； Neonatal asphyxia； Investigation analysis 　　胎儿宫内窘迫（fetal distress，FD）是胎儿在子宫内因急性或慢性缺氧危及健康