羊水污染321例临床分析

目的：为探讨分娩期羊水胎粪污染的临床原因，以降低对新生儿的不良影响。方法：选择2006年6月至2007年6月在山西省介休市人民医院分娩的2123例产妇，产程中有羊水胎粪污染≥Ⅱ度的321例产妇，另随机选择同期产程中羊水清亮的330例产妇作为对照组，从诊断、分娩方式、母体并发症及新生儿Apgar评分等方面进行对比分析。结果：2123例产妇中，羊水污染≥Ⅱ度的产妇为321例，发生率为15．12％。母体并发症、胎心监护异常发生率、剖宫产率及新生儿窒息率均高于对照组（P均小于0．01）。结论：分娩期发现羊水污染，应加强胎儿监护，积极处理，宜尽快结束分娩，可降低新生儿的窒息率。

Clinical Analysis on 321 Cases with Meconium-Stained Amniotic Fluid

Objective：To investigate the clinical causes of meconium-stained amniotic fluid at the stages of labor and reduce the adverse effects for neonates. Methods： A total of 2123 parturients who deliveried in Jiexiu People＇s Hospital of Shanxi Province from June 2006 to June 2007 were chosen and there were 321 parturients with meconiumstained amniotic fluid （≥Ⅱ degree） in birth process. Another 330 parturients with normal amniotic fluid who were at the same stages of labor were randomly chosen from 2123 cases as a control group and they were carried out the comparative analyses from the diagnosis, ways of labor, maternal complications, the neonate grades （ Apgar ） and other aspects. Results： There were 321 parturients with meconium-stained amniotic fluid （ ≥Ⅱ degree） in 2123 cases and the incidence was 15.12%. The maternal complications, the abnormal incidence of fetal heart electrocardiograph monitoring, cesarean section rate and neonatal asphyxia rate were higher than those of the control group respectively （P 〈 0.01 ）. Conclusion： It＇ s important to strengthen the fetal monitoring, carry out the active treatment and end the labor as soon as possible so as to reduce neonatal asphyxia If the meconium-stained amniotic fluid is found at the stages of labor.