【摘要】 目的 :探讨胎儿窘迫的诊断指标及其相关因素。方法 :分析 2 33例以胎儿窘迫为指征行剖宫产病例 ,按胎儿窘迫的不同诊断指标进行分组比较 ,统计其新生儿窒息率及胎儿窘迫相关因素百分率 ,并统计各胎儿窘迫相关因素的百分比。结果 :①随着胎儿窘迫诊断指标项目的增多 ,发现检出的新生儿窒息率和胎儿窘迫相关因素百分率也相应升高。②胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。结论 :①胎儿窘迫应采取多指标来诊断。②对于有胎儿窘迫相关因素者 ,应密切监护、积极处理、适时行剖宫产术。更多还原

【Abstract】 Objective:To analyze the diagnostic criteria of fetal distress and it’s related factors.Methods:233 cases with indication of fetal distress undergoing cesarean section from January,2000 to May,2002 were retrospectively compared, the different diagnostic criteria, and analyzed the rate of neonatal asphysia and the related factors of fetal distress.Results:The rates of neonatal asphysia and related factors of fetal distress were increased with multiple diagnostic criteria of fetal distress. The major related factors of fetal distress were: abnormality of umbilical cord, oligohydramnios, and placenta abnormality.Conclusions:①Fetal distress should be diagnosed with more than one criteria.②Fetal distress with related factors should be monitored intimately, and timely performing cesarean section.更多还原