羊水粪染对围产结局影响临床的分析.pdf

目 录 中文摘要·········································································1 英文摘要·····························································3 英文缩写················································································6 研究论文羊水粪染对围产结局影响的临床分析 前言·········································································7 材料与方法·······················································9 结果·········································································12 附图···········································································14 附表·······································································15 讨论·········································································18 结论···············································································25 参考文献·······································································26 综述 羊水粪染的意义和处理·····················································30 致谢····················································3 6 个人简历·············································································37 万方数据 中 文 摘 要 羊水粪染对围产结局影响的临床分析 摘 要 目的：研究羊水粪染的危险因素及其程度对新生儿窒息、吸入性肺炎、 缺血缺氧性脑病发病率及分娩方式的影响 方法：以2015 年1 月-12 月于我院分娩的单胎头位、孕周≥37 周的孕 产妇作为研究对象。共有1456 例符合纳入标准。327 例羊水粪染患者作 为观察组，同期1129 例羊水正常患者作为对照组。对以下指标进行研究 1 羊水粪染的发生率2 羊水粪染的高危因素的构成3 观察组和对照组之间 新生儿窒息、吸入性肺炎、缺血缺氧性脑病的发病率的比较4 观察组中不 同羊水粪染程度对上述新生儿结局的影响；5 羊水粪染的出现时间对新生 儿不良结局的影响。6 羊水性状与胎心监测异常发生率的关系7 羊水粪染 程度对分娩方式的影响 结果： 1 羊水粪染的发生率为22.5% （327/1456 ）。 2 羊水粪染的高危因素构成：脐带因素（32.1% ）,羊水过少（22.6% ）， 胎膜早破（19.0%），产程异常（16.5%），胎儿生长受限（6.4% ），过期妊 娠（3.4% ）。 3 观察组新生儿窒息、吸入性肺炎、缺血缺氧性脑病的发病率分别为 14.9%、7.3%、