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目的探讨胎儿窘迫的剖宫产术指征及其相关因素。方法分析528例以胎儿窘迫为指征行剖宫产患者,按胎心监护轻度异常、胎心监护重度异常、单纯羊水Ⅲ度粪染、羊水粪染合并胎心监护异常分为4组进行比较,统计其新生儿窒息率及胎儿窘迫相关因素百分率,并统计胎儿窘迫各相关因素的百分比。结果羊水粪染合并胎心监护异常组新生儿窒息率高于其他3组,χ~2=5.58,P<0.05,胎儿窘迫相关因素百分率也相应升高。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。结论胎儿窘迫应采取多指标来诊断。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 indications and related factors of cesarean section in fetal distress. Methods 528 cases of cesarean with fetal distress indications were cesarean section, according to mild fetal heart monitoring abnormalities, fetal heart monitoring severe abnormalities, simple amniotic fluid Ⅲ degree meconium, amniotic fluid meconium stained with fetal heart rate abnormalities were divided into 4 groups The percentage of neonatal asphyxia and related factors of fetal distress was calculated and compared, and the percentage of related factors of fetal distress was calculated. Results Asphyxia rate in amniotic fluid stained with fetal heart rate abnormalities was higher than that in the other three groups (χ ~ 2 = 5.58, P <0.05). The percentage of fetal distress related factors also increased accordingly. The main factors related to fetal distress umbilical cord factors, oligohydramnios, placental factors. Conclusion Fetal distress should be used to diagnose multiple indicators. For those who have fetal distress related factors, should be closely monitored and actively dealt with timely cesarean section.