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目的探讨羊水胎粪污染的处理时机与方法。方法对2009年1月至2009年7月在中牟县人民医院分娩的产程中羊水为Ⅱ～Ⅲ度污染的110例初产妇的母婴结局进行回顾性分析,其中破膜时羊水粪染有60例,产程中羊水由清亮变为污染有50例;另随机选择同期产程中羊水清亮的100例产妇为对照组。结果粪染组在母体合并症、胎心监护异常发生率、剖宫产率及新生儿窒息率上均高于对照组(P<0.01)。结论重视羊水粪染的临床处理,可减少新生儿窒息的发生率。
Objective To investigate the timing and method of meconium-stained amniotic fluid contamination. Methods From January 2009 to July 2009 in Zhongmu County People’s Hospital delivery of amniotic fluid in labor Ⅱ ~ Ⅲ degree of pollution of 110 cases of primiparas were analyzed retrospectively, of which amniotic fluid during rupture of membranes 60 Cases, amniotic fluid in the labor process from clear to polluted in 50 cases; another randomly selected during the same period of birth amniotic fluid clear 100 cases of maternal control group. Results The fecal staining group was higher than the control group in maternal complications, abnormal fetal heart rate monitoring, cesarean section rate and neonatal asphyxia (P <0.01). Conclusions The clinical treatment of meconium-stained amniotic fluid can reduce the incidence of neonatal asphyxia.