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目的 对Ⅱ度以上羊水粪染的孕妇行羊水置换 ,旨在改善新生儿预后。方法 32例采用自行设计的三通管装置和置换液行羊水置换 ,作研究组 ,另 30例作对照组 ,进行对比分析。结果 新生儿窒息率、胎粪吸入综合征发生率、脐血及股动脉血血气分析等 ,研究组与对照组对比有显著性差异 (P <0 0 1)。产褥病率两组无明显差异 (P >0 0 5 )。两组各自脐静脉和股动脉血血气分析对比无显著性差异 (P >0 0 5 )。结论 羊水粪染行羊水置换 ,可改善新生儿预后。
Objective To investigate the amniotic fluid replacement in amniotic fluid stained with amniotic fluid above grade Ⅱ in order to improve the prognosis of neonates. Methods Thirty-two patients were treated with a self-designed three-way tube device and amniotic fluid replacement with replacement fluid. The other 30 patients were used as control group for comparative analysis. Results Neonatal asphyxia, meconium aspiration syndrome, umbilical blood and femoral artery blood gas analysis, the study group and the control group were significantly different (P <0.01). The prevalence of puerperal had no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups in blood gas analysis of umbilical vein and femoral artery (P> 0.05). Conclusion amniotic fluid excretion of amniotic fluid replacement, can improve the prognosis of newborns.