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目的:探讨胎儿窘迫相关因素及处理方法。方法:2002年1月至2006年12月恩施市中心医院采用回顾性方法分析351例胎儿窘迫的相关的因素。结果:351例胎儿窘迫的相关因素分别是脐带因素占48.15%,胎盘因素占18.38%,羊水因素占11.40%,母体因素3.99%,胎儿因素占2.71%,产力因素占6.13%,原因不明占9.26%。分娩方式对胎儿窘迫发生率有较大的影响,以臀位助产发生率最高(P<0.01)。结论:胎儿窘迫受多种因素影响,一旦发生对胎儿影响较大,故及时恰当地进行干预,有助于降低新生儿窒息的发生率。
Objective: To investigate the related factors and treatment of fetal distress. Methods: January 2002 to December 2006 Enshi Central Hospital retrospectively analyzed 351 cases of fetal distress related factors. Results: The related factors of fetal distress in 351 cases were 48.15% of umbilical cord, 18.38% of placenta, 11.40% of amniotic fluid, 3.99% of maternal factor, 2.71% of fetal factor and 6.13% of genetic factors, 9.26%. Mode of delivery has a greater impact on the incidence of fetal distress, the highest incidence of breech delivery (P <0.01). Conclusion: Fetal distress is affected by many factors. Once the impact on the fetus occurs, it is helpful to timely and properly intervene to reduce the incidence of neonatal asphyxia.