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对８７ 例孕龄３７ ～４２ 周新生儿窒息及其羊水状况、胎心电子监护进行分析， 探讨新生儿窒息与羊水粪染的关系。结果：新生儿窒息与羊水粪染有关。新生儿重度窒息组为Ⅲ度羊水粪染比例高，而新生儿轻度窒息组为Ⅰ、Ⅱ度羊水粪染比例高（ Ｐ＜ ０ ．０５） ； Ⅲ度羊水粪染者胎心电子监护的异常发生率显著高于Ⅰ、Ⅱ度羊水粪染者（ Ｐ ＜ ０ ．０１） ；胎心电子监护对新生儿窒息的阳性预测率为２９ ．０９ ％ （１６／５５） 。结论：新生儿窒息的发生与羊水粪染程度密切相关。出现Ⅲ度羊水粪染应立即结束分娩， 出现Ⅰ、Ⅱ度羊水粪染时必须在胎心电子监护下密切观察产程进展， 一旦出现异常尽快结束分娩，以降低新生儿窒息的发生率。
87 cases of gestational age 37 to 42 weeks of neonatal asphyxia and amniotic fluid status, fetal heart electronic monitoring were analyzed to explore the relationship between neonatal asphyxia and amniotic meconium. Results: Neonatal asphyxia was related to meconium-stained amniotic fluid. Neonatal severe asphyxia group Ⅲ degree of amniotic fluid meconium stained high proportion, and neonatal mild asphyxia group Ⅰ, Ⅱ degree of amniotic fluid meconium stained high proportion (P <0 .05); Ⅲ degree amniotic fluid stained electron fetal heart protection The incidence of abnormalities was significantly higher than that of Ⅰ and Ⅱ degrees of amniotic fluid (P <0.01). The positive predictive rate of Fetal ECG for neonatal asphyxia was 29. 09% (16/55). Conclusion: Neonatal asphyxia is closely related to the degree of meconium staining in amniotic fluid. Occurrence of Ⅲ degree amniotic fluid stained should immediately end childbirth, there Ⅰ, Ⅱ degree meconium amniotic fluid must be under fetal heart electronic monitoring closely observe the progress of labor, in the event of abnormal delivery as soon as possible to reduce the incidence of neonatal asphyxia.