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目的探讨胎儿宫内窘迫剖宫产指征。方法依据雌三醇（Ｅ３）值、胎心监护、羊水情况将因胎儿窘迫行剖宫产的孕产妇７０例分为３组：重度胎儿窘迫１９例（Ⅰ组）；中度胎儿窘迫２１例（Ⅱ组）；轻度胎儿窘迫３０例（Ⅲ组）。比较各组间胎儿窘迫相关因素及新生儿Ａｐｇａｒ评分结果。结果Ｉ组新生儿Ａｐｇａｒ评分≤７分的发生率为４２．８６％，胎儿窘迫相关因素发生率为９０．４８％，明显高于Ⅱ组、Ⅲ组（Ｐ＜０．０１）。表明：Ⅰ组胎儿存在缺氧情况，应及时娩出胎儿。Ⅱ组胎儿多数存在缺氧情况，应在对症处理的同时继续严密监护，若无好转，也应及时终止妊娠。Ⅲ组多数胎儿无明显缺氧表现。结论胎儿窘迫应采用多指标来诊断。
Objective To investigate the indications for cesarean section in fetal distress. Methods Seventy pregnant women with cesarean section due to fetal distress were divided into three groups according to the values of estriol (E3), fetal heart rate and amniotic fluid: 19 cases of severe fetal distress (group Ⅰ), 21 cases of moderate fetal distress (Group Ⅱ); mild fetal distress in 30 cases (group Ⅲ). Fetal distress related factors and neonatal Apgar score were compared between groups. Results The incidence of neonatal Apgar score of ≤7 was 42.86% and the incidence of fetal distress was 90.48% in group I, which was significantly higher than that in group Ⅱ and group Ⅲ (P <0.01). Show: I group of fetal hypoxia, prompt delivery of the fetus. Most of the fetus in group Ⅱ had hypoxia, and should be closely monitored while symptomatic treatment. If there is no improvement, the pregnancy should be terminated promptly. Most fetuses in group Ⅲ had no obvious hypoxia. Conclusion Fetal distress should be used to diagnose multiple indicators.