胎儿宫内窘迫行剖宫产术221例临床分析

目的探讨如何预防和早期发现胎儿窘迫,减少新生儿窒息,正确诊断,及时行剖宫产术。方法将该院以胎儿窘迫为第一手术指征行剖宫产的221例患者进行回顾性分析,以宫口开大情况分为未临产组、潜伏期组、活跃期组,分析各组胎儿窘迫的相关因素、新生儿Apgar评分情况。结果新生儿窒息率5.43%。胎儿窘迫发生在未临产组115例(52.04%),潜伏期组54例(24.43%),活跃期组52例(23.53%)。3组诊断符合率分别为77.39%、98.14%、98.08%。221例病例中早产33例,未临产组30例(90.91%)。结论加强产前、产时胎儿的胎心监护,早期发现胎儿受损迹象,及时进行干预,可以减少新生儿窒息发生率。

Clinical analysis of 221 cases of cesarean section with the first indictions of fetal distress

Objective To discusses how to prevente and detect fetal distress early and to reduce neonatal asphyxia,diagnose correctly and do cesarean section reasonable.Methods 221 cases with first indications of fetal distress from hubei maternity and child care centers were analysed.According to the cervical dilatation,221 cases were divided into 3 groups,not birth group,tency group and active group.The fetal distress related factors,the intraoperative cesarean sections and neonatal Apgar scores were analysed.Results The neonatal suffocation rate was 5.43%.Fetal distress happened on 115 patients in no birth group(52.04%),54 in latency group(24.43%),52 in active group(23.53%).Coincidence rates of three groups were 77.39%,98.14% and 98.08%.There were 33 cases of premature in 221 cases,30 cases in no birth group,accounting for 90.91%.Conclusion Continuous monitoring for maternal risk factors and the fetus early signs of damage,timely intervention can reduce the newborn suffocation.