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目的:探讨羊水污染对胎儿的危害及其临床处理方法。方法:抽取于我院2012年4月-2015年10月分娩的足月且有羊水污染的产妇132例作为研究对象,回顾性分析她们的临床资料,总结羊水污染对胎儿的危害及其处理措施。结果:从羊水污染程度分析,Ⅰ度羊水污染发生新生儿窒息率显著低于Ⅱ度与Ⅲ度(P<0.05),而Ⅱ度与Ⅲ度比较无明显差异(P>0.05);从第一产程潜伏期与活跃期分析,潜伏期Ⅱ度与Ⅲ度羊水污染发生新生儿窒息率与胎儿窘迫率要明显高于活跃期(P<0.05)。结论:羊水污染很大程度上会导致胎儿窘迫与新生儿窒息,临床需尽早做好护理干预,加强预防,才能更好地保障母婴安全。
Objective: To investigate the harm of amniotic fluid to fetus and its clinical treatment. Methods: 132 cases of full-term mothers with amniotic fluid contamination in our hospital from April 2012 to October 2015 were selected as the research objects. Their clinical data were retrospectively reviewed. The risks of amniotic fluid contamination to the fetus and its treatment measures . Results: According to the degree of amniotic fluid contamination, the incidence of neonatal asphyxia in I degree amniotic fluid contamination was significantly lower than that in grade II and III (P <0.05), while there was no significant difference between grade II and III (P> 0.05) Latency and active phase analysis of labor process, neonatal asphyxia and fetal distress rate of latent amniotic fluid Ⅱ and Ⅲ amniotic fluid were significantly higher than that of active phase (P <0.05). Conclusion: Amniotic fluid pollution can cause fetal distress and neonatal asphyxia to a large extent. Clinically, nursing intervention should be done as soon as possible and prevention should be strengthened so that the safety of mother and baby can be better protected.