新生儿窒息与羊水污染和胎心监护关系研究.docVIP

新生儿窒息与羊水污染和胎心监护关系研究 　　[摘要] 目的 探讨新生儿窒息与羊水污染和胎心监护的关系。方法 回顾性分析2012年1月~2013年7月来我院分娩出生的新生儿675例，发生窒息的新生儿131例，按照窒息程度分为轻度窒息75例，重度窒息56例。按照是否存在羊水污染及程度分为羊水清亮26例，Ⅲ度羊水污染的新生儿31例，Ⅱ度羊水污染的新生儿48例，Ⅰ度羊水污染的新生儿26例。 结果 羊水污染的新生儿窒息率与羊水清亮组比较明显较高，差异有统计学意义（P0.05）。羊水清亮新生儿胎心监测异常发生率与不同程度羊水污染新生儿比较明显较高，差异有统计学意义（P0.05）。Ⅲ度羊水污染、Ⅱ度羊水污染及Ⅰ度羊水污染新生儿胎心监测异常发生率依次降低，三组间差异有统计学意义（P0.05）。结论 新生儿窒息、羊水污染及胎心监护相关性较大，产科临床医师要对分娩的全过程密切关注，使新生儿窒息的发生率显著降低。 　　[关键词] 新生儿；窒息；羊水污染；胎心监护 　　[中图分类号] R714.7[文献标识码] B[文章编号] 1673-9701（2014）18-0110-03 　　 　　Relationship between neonatal asphyxia and meconium and fetal heart rate monitoring 　　DENG Yujuan ZHANG Yanmei LI Zhiyun 　　Department of Obstetrics and Gynecology, the Third People’s Hospital of Shantou City in Guangdong Province, Shantou 515073, China 　　[Abstract] Objective To investigate the relationship between neonatal asphyxia and meconium and fetal heart rate monitoring. Methods A total of 675 cases of newborns born birth selected from January 2012 to July 2013 in our hospital were retrospective analyzed, neonatal asphyxia were 131 cases, according to the degree of asphyxia they were divided into two groups, the mild asphyxia group had 75 cases, the severe asphyxia group had 56 cases. According to whether had meconium and the degree they were divided into four groups, the amniotic fluid clear group had 26 cases, degree Ⅲ neonatal pollution group had 31 cases, degree Ⅱ neonatal pollution group had 48 cases, degree Ⅰ neonatal pollution group had 26 cases. Results The neonatal asphyxia rate of neonatal pollution group was significantly higher than amniotic fluid clear group, the difference was significant(P 0.05). The fetal heart monitor newborns abnormal incidence of the amniotic fluid clear group were significantly higher than varying degrees of neonatal pollution groups, the difference was significant(P 0.05). The incidence of abnormal fetal heart monitor newborns of degree Ⅲ neonatal pollution group, degree Ⅱ neonatal pollution group and degree Ⅰ neonatal pollution grou