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目的分析围生期高危因素与胎儿窘迫及新生儿窒息的关系。方法 128例胎儿窘迫患儿,根据是否发生新生儿窒息现象将其分为窒息组(40例)与未窒息组(88例),分析胎儿窘迫及新生儿窒息之间的关系。结果窒息组胎心异常、胎动减少或消失、产程过长等发生率显著高于未窒息组,差异有统计学意义(P<0.05);窒息组羊水污染Ⅲ度、羊水过少、胎盘异常、胎膜早破、脐带异常、孕妇孕期贫血及全身各系统疾病等发生率与未窒息组比较,差异无统计学意义(P>0.05)。结论给予围生期有高危因素的孕产妇实施围生期综合护理及产前指导,可显著减少新生儿窒息事件发生情况,值得在临床上推广。
Objective To analyze the relationship between perinatal high risk factors and fetal distress and neonatal asphyxia. Methods 128 cases of fetal distress were divided into asphyxia group (40 cases) and non-asphyxia group (88 cases) according to whether there was neonatal asphyxia or not, and to analyze the relationship between fetal distress and neonatal asphyxia. Results Asphyxia group had abnormal fetal heart rate, decreased or disappeared fetal movement, prolonged labor process and so on. The incidence of amniotic fluid was Ⅲ, oligohydramnios, placental abnormality, The incidence of premature rupture of membranes, umbilical cord abnormalities, anemia in pregnant women during pregnancy, systemic diseases and other systemic diseases were not statistically different (P> 0.05). Conclusions The perinatal comprehensive nursing and prenatal guidance given to pregnant women with perinatal high risk factors can significantly reduce the incidence of neonatal asphyxia and deserve clinical promotion.