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目的探讨羊水粪染的临床意义并指导临床处理。方法对溧水县人民医院4 564名孕妇进行前羊水观察、胎心监护及新生儿Apgar评分。结果胎儿宫内窘迫率、新生儿窒息率随羊水粪染程度加重而升高。羊水粪染合并胎心异常者新生儿窒息率较高。结论羊水粪染程度与胎儿宫内窘迫、新生儿窒息呈正相关。临床对羊水Ⅱ、Ⅲ度,尤其合并胎心异常者应尽快终止妊娠。
Objective To investigate the clinical significance of meconium-stained amniotic fluid and to guide the clinical treatment. Methods A total of 4 564 pregnant women in Lishui People’s Hospital were examined with amniotic fluid, fetal heart rate monitoring and neonatal Apgar score. Results Fetal intrauterine distress rate, neonatal asphyxia rate increased with the degree of meconium-stained amniotic fluid increased. Amniotic fluid meconium combined with abnormal fetal heart rate neonatal asphyxia. Conclusions Amniotic fluid meconium staining is positively correlated with fetal distress and neonatal asphyxia. Clinical amniotic fluid Ⅱ, Ⅲ degree, especially with abnormal fetal heart rate should be terminated as soon as possible pregnancy.