论文部分内容阅读
目的探讨胎儿窘迫的诊断指标及相关因素。方法分析580例以胎儿窘迫为指征行剖宫产病例,把握胎儿窘迫的不同诊断指标进行分组比较,统计其新生儿窒息率及胎儿窘迫相关因素百分率,并统计各胎儿窘迫相关因素的百分比。结果①胎儿窘迫诊断指标项目的增多检出的新生儿窒息率和胎儿窘迫相关因素百分比也相应升高;②胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。结论①胎儿窘迫应采取多指标来诊断;②对于有胎儿窘迫相关因素者,应密切监护,积极处理,适时行剖宫产术。
Objective To investigate the diagnostic indicators and related factors of fetal distress. Methods A total of 580 cases of cesarean section with fetal distress were analyzed to compare the different diagnostic indexes of fetal distress. The rates of neonatal asphyxia and fetal distress were calculated, and the percentage of fetal distress related factors were calculated. Results ① The percentage of newborns with asphyxia and fetus distress related to fetal distress increased as the number of items of fetal distress increased. ② The main factors related to fetal distress were umbilical cord factors, oligohydramnios and placental factors. Conclusion ① fetal distress should be used to diagnose multiple indicators; ② for fetal distress related factors, should be closely monitored, and actively deal with timely cesarean section.