硫酸镁在胎儿宫内窘迫复苏治疗中的疗效观察.docVIP

精品论文 参考文献 硫酸镁在胎儿宫内窘迫复苏治疗中的疗效观察 林月丽1 林也容1 陈慧1 张兰1 邹双优1 尹晶1 郁毅刚2 　　（1解放军第一七五医院暨厦门大学附属东南医院妇产科 福建漳州 363000） 　　（2解放军第一七五医院暨厦门大学附属东南医院神经外科 福建漳州 363000） 　　【摘要】目的 探讨硫酸镁对晚期及分娩期胎儿宫内窘迫复苏治疗的疗效观察及分析。方法 选取2011年1月～2011年3月在我院妇产科治疗、分娩的孕晚期产妇600例，随机分为观察组和对照组，各300例。对其中的宫内窘迫孕产妇，观察组采用硫酸镁宫内复苏术，并予低流量吸氧及左侧卧位进行宫内复苏，而对照组采用传统的治疗方法。比较两组治疗后的胎心率的变化、分娩方式及羊水状态。结果 观察组与对照组对比，分娩期的胎窘剖宫产率降低、羊水状态提高，孕晚期胎心率恢复率高，两组相比较差异有统计学意义（Plt;0.05）。结论 硫酸镁宫内复苏术治疗胎儿窘迫，效果好，方法简单易行，价格便宜，值得临床推广应用。 　　【关键词】硫酸镁 宫内复苏术 胎儿窘迫 　　【中图分类号】R714.5 【文献标识码】A 【文章编号】2095-1752（2013）35-0065-02 　　Observation of resuscitation curative effect of fetal distress in uterus by giving magnesium sulfate LIN Yue-li1，LIN Ye-rong 1＊,CHEN Hui1, , et al. 1. Department of Obstetrics and Gynecology, The 175th Hpspital of PLA (Affiliated Dongnan Hospital of Xiamen University), Fujian Zhangzhou 363000, China; 2 Department of Neurosurgery, The 175th Hpspital of PLA (Affiliated Dongnan Hospital of Xiamen University), Fujian Zhangzhou 363000, China. 　　【Abstract】Objective Observe and analysis resuscitation curative effect of fetal distress in uterus by giving magnesium sulfate. Method 600 late pregnant puerperal who were treated and deliver in Our hospital obstetrics and gynecology from January 2011 to March 2011 were collected, and then were divided into observation group and control group randomly, both of which had 300 patient. Observation grouprsquo;s pregnant women were given a resuscitation in uterus by applying magnesium sulfate, and supplied low flow oxygen and left lateral position to resuscitation. Control grouprsquo;s pregnant women were given traditional treatment. Finally, compared two grouprsquo;s fetal heart rate, delivery mode and Amniotic fluid. Result Observation grouprsquo;s cesarean delivery rate is lower than control grouprsquo;s. Observation grouprsquo;s Amniotic fluid were improved more well than control group, and the recovery rate of fetal heart rate was also higher t