胎儿窘迫相关因素分析与护理对策

目的探讨胎儿窘迫的相关因素，提出护理对策，降低围生儿死亡率。方法将325例足月分娩胎儿窘迫的住院病例进行回顾性分析。结果325例胎儿窘迫的相关因素分别是脐带因素占48．31％，胎盘因素占18．46％，羊水因素占11．38％，母体因素占3．69％，胎儿因素占2．77％，产力因素占6．46％，原因不明占8．92％。分娩方式对胎儿窘迫发生率有较大影响，以臀位助产发生率最高（P〈0．01）。结论胎儿窘迫的发生是多项因素作用的结果，应加强对这些相关因素的控制，从而降低围生儿病率和围生儿死亡率。

Analysis of Related Factors of Fetal Distress and the Care Measures

Objective To about the related factors of fetal distress and propose nursing countermeasures to lower the perinatal mortality. Methods Retrospective analysis was done on 325 cases of full term birth inpatients who had fetal distress. Results Among the related factors in 325 cases of fetal distress, the factor of umbilical cord accounts for 48.31% , the factor of placenta accounts for 18.46% , the factor of amniotic fluid accounts for 11.38% , the factor of mother accounts for 3.69% , the factor of fetus accounts for 2. 77% , the factor of production strength accounts for 6.46% , unexplained factors account for 8.92%. Delivery method has great effect on the incidence of fetal distress. The highest incidence of fetal distress was found when breech birth was used for delivery （P 〈0. 01 ）. Conclusion The incidence of fetal distress is caused by multiple factors. Control on these related factors should be strengthened to lower the perinatal morbidity and the perinatal mortality.