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目的观察以胎儿窘迫为指征的剖宫产对剖宫产率的影响。方法将我院2003年1月至2005年12月剖宫产6869例中以胎儿窘迫为指征的2639例,根据诊断分为两组,即Ⅰ组重度胎儿窘迫组和Ⅱ组轻度胎儿窘迫组,进行回顾分析,采用统计学处理。结果2639例中,Ⅰ组有胎儿窘迫相关因素占95.2%。Ⅱ组有胎儿窘迫相关因素占38.4%。Ⅰ组中出现593例新生儿窒息(40.2%)。Ⅱ组1163例中,1079例胎儿娩出后无窒息占92.8%,仅84例发生新生儿窒息占7.2%。结论为了母婴安全,应严格诊断标准,提高责任心,减少不必要剖宫产的发生。
Objective To observe the effect of cesarean section on the rate of cesarean section with fetal distress. Methods From January 2003 to December 2005 in our hospital 6869 cases of cesarean section in fetal distress as the indications of 2639 cases, according to the diagnosis is divided into two groups, namely, severe fetal distress group Ⅰ and Ⅱ mild fetal distress Group, for retrospective analysis, using statistical analysis. Results Among the 2639 cases, the related factors of fetal distress in group Ⅰ were 95.2%. Group Ⅱ had fetal distress related factors accounted for 38.4%. 593 neonates with asphyxia (40.2%) appeared in group Ⅰ. Among 1163 patients in group Ⅱ, 1079 without asphyxia accounted for 92.8% after delivery, while only 84 patients had neonatal asphyxia accounting for 7.2%. Conclusion In order to ensure the safety of mother and baby, the criteria should be strictly diagnosed to improve the sense of responsibility and reduce the incidence of unnecessary cesarean section.