足月急性胎儿宫内窘迫与新生儿预后探讨

目的 探讨急性胎儿宫内窘迫与新生儿预后的关系.方法 应用回顾分析方法对2 544例足月急性胎儿宫内窘迫、胎儿娩出后产妇的情况、新生儿阿氏评分及胎儿宫内窘迫原因分析.结果 胎儿宫内窘迫是宫内胎儿缺氧的危急状态,处理及时是关键,剖宫产、胎头吸引和单纯侧切的新生儿窒息率分别为10.72%、10.71%、13.00%.结论 急性胎儿宫内窘迫是新生儿国产期死亡及新生儿神经后遗症的常见原因.及时正确处理,新生儿预后良好.

Clinical Analysis of Relationship between Acute Fetal Distress in Uterus and Newborn Prognosis

Objective To study the relationship between acute fetal distress in uterus and newborn prognosis. Methods The retrospective analysis was used to analyze 2 544 term uterogestation puerpera who suffer from acute fetal distress in uterus ,the cause of 2 544 term uterogestation acute fetal distress in uterus,the status of puerperal ofter fetal disengagement and the Apgar score of newborn. Resuits Fetal distress in uterus is a condition of progressive fetal asphyxia with hypoxia, the key is that settling it promptly. The fetal asphyxia rate of three kind of delivery modes including cesarean section, perineum lateral incision and application of vacuum extractor was separately 10. 72% , 10. 71% , 13.00%. Conclusion Acute fetal distress in uterus is the common reason for newborn perinatal death and newborn nerve sequelae, dealing with it promptly, the newborn prognosis is better.