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分娩时,羊水粪染的发生率为8~16%,其最严重的并发症为胎粪吸入综合征,一旦发生将严重影响新生儿健康。有报道认为羊水粪染时羊膜腔灌注可通过稀释作用降低胎粪吸入综合征发生率和减少稠厚胎粪的毒性作用,但这一结论仍有争议。本文将羊水粪染患者前瞻性随机分为羊膜腔灌注组和常规监护组,以探讨羊膜腔灌注的价值。
During childbirth, the incidence of meconium-stained amniotic fluid is 8-16%. The most serious complication is meconium aspiration syndrome, which will seriously affect the health of newborn infants. It has been reported that amniotic fluid meconium-stained amniotic cavity infusion can reduce the incidence of meconium aspiration syndrome and reduce the toxic effects of thick meconium, but this conclusion is still controversial. In this paper, patients with meconium amniotic fluid were prospectively randomized into amniotic fluid perfusion group and routine monitoring group to investigate the value of amniotic perfusion.