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本文通过对分娩期产程中羊水污染的临床现察,并与胎心监护手段相结合,综合评估胎儿在宫内的安危,以适时采取妥善处理来降低围产儿死亡率.结果:1977例分娩数中有478例羊水污染,占24.18%,其中轻度40.4%;重度59.6%,潜伏期轻度污染51.9%,重度污染48.1%;活跃期轻度污染3.5%,重度污染96.5%.经临床观察,单一的羊水污染仅是胎儿缺氧的最早信息,而不能以此诊断为胎儿宫内窘迫。如羊水重度污染出现在潜伏期,伴胎心率异常、变异消失则新生儿窒息发生率高,经 X~2检验,P<0.01,有显著差异。若发现胎儿宫内窘迫要寻找原因并给予及时处理,否则预后不良.
In this paper, the clinical observation of amniotic fluid contamination in the labor process of labor during childbirth, combined with the fetal heart monitoring means, comprehensive assessment of the safety of the fetus in the uterus, timely and take appropriate measures to reduce perinatal mortality.Results: 1977 cases of childbirth 478 cases of amniotic fluid contamination accounted for 24.18%, of which mild 40.4%; severe 59.6%, mild latent incubation 51.9%, severe pollution 48.1%; mild active 3.5%, severe pollution 96.5% .According to clinical observation, A single amniotic fluid contamination is only the earliest information on fetal hypoxia, which can not be diagnosed as fetal distress. Such as severe amniotic fluid in the incubation period, with abnormal fetal heart rate, the disappearance of variation in the incidence of neonatal asphyxia, X ~ 2 test, P <0.01, significant differences. If you find fetal distress to find the cause and give timely treatment, otherwise the prognosis is poor.