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目的探讨胎儿宫内生长受限(FGR)相关因素及新生儿预后的影响。方法选取该院2012年12月~2014年12月FGR孕产妇98例为试验组,正常孕产妇98例为对照组,分析FGR相关因素及两组新生儿预后情况。结果 FGR内在主要因素是母体因素,占51%,母体因素中主要是妊娠并发症;其次是脐带因素,占15.2%。外在因素中居住地、未系统产检、<36周产检发生FGR的发生率明显高于对照组,差异有统计学意义(P<0.05),产妇>42周产检发生FGR的发生率差异无统计学意义(P>0.05)。试验组发生FGR、新生儿窒息、围生儿死亡的发生率明显高于对照组,差异有统计学意义(P<0.05)。结论 FGR高危因素分析和孕产妇早期诊断对减少该地区产妇发生FGR、新生儿预后不良有重要意义。
Objective To investigate the factors related to FGR and the prognosis of neonates. Methods From December 2012 to December 2014, 98 pregnant women with FGR were selected as experimental group and 98 normal pregnant women as control group. The related factors of FGR and the prognosis of the two groups were analyzed. Results The main internal factors of FGR were maternal factors, accounting for 51%. The main maternal factors were pregnancy complications. The second was umbilical cord factors accounting for 15.2%. Exogenous factors in the place of residence, not systematic examination, <36 weeks the incidence of FGR was significantly higher than the control group, the difference was statistically significant (P <0.05), maternal> 42 weeks the incidence of FGR was no statistical difference Significance (P> 0.05). The incidence of FGR, neonatal asphyxia and perinatal death in the experimental group was significantly higher than that in the control group (P <0.05). Conclusion The analysis of risk factors of FGR and early diagnosis of pregnant women are of great significance to reduce the occurrence of FGR and neonatal poor prognosis in this area.