羊水粪染对妊娠结局影响的临床分析

发布时间：2018-05-29 17:46

本文选题：羊水粪染 + 妊娠结局　；参考：《吉林大学》2014年硕士论文

【摘要】：目的: 探讨32745例头位生产发生羊水粪染的新生儿，根据羊水粪染产科原因、程度、发生孕周及新生儿体重和新生儿窒息情况进行了相关性分析，，以探讨羊水粪染的诊断、临床意义及相关因素对妊娠结局的影响。方法：选择2011年1至12月份我国14个代表城市的地方医院住院分娩患者共112441例，其中头位分娩过程中出现羊水粪染32745例（发生率为29.12%）作为研究对象，对羊水粪染的相关因素、分娩方式，围生儿结局进行分析。结果: 研究对象中过期妊娠、胎膜早破、脐带异常、妊娠高血压疾病、胎儿发育异常、羊水过少、孕周等因素均会不同程度的导致羊水粪染，同时羊水粪染程度，分娩方式对胎儿及新生儿都有不同程度的影响。结论: 羊水粪染程度与胎儿宫内窘迫、新生儿窒息呈正相关，产程中及时发现并正确处理羊水粪染，对改善母儿妊娠结局意义重大。临床对羊水II度以上污染,尤其合并胎心异常者应尽快终止妊娠，以降低新生儿窒息率。
[Abstract]:Objective: In order to explore the diagnosis of amniotic fluid faecal staining, 32745 cases of neonates with amniotic fluid faecal staining in head position were analyzed according to the causes, degrees, gestational weeks, neonatal weight and neonatal asphyxia, in order to explore the diagnosis of amniotic fluid feces staining. The effect of clinical significance and related factors on pregnancy outcome. Methods: From January to December 2011, a total of 112441 delivery patients in 14 local hospitals representing cities in China were selected. Among them, 32745 cases (the incidence rate was 29.12) of amniotic fluid faeces during the first delivery were selected as the study objects, and the related factors of meconium staining in amniotic fluid were analyzed. The way of delivery, perinatal outcome was analyzed. Results: Premature rupture of membranes, abnormal umbilical cord, hypertension, abnormal development of fetus, oligohydramnios, gestational age and other factors will lead to amniotic fluid feces staining in varying degrees, and amniotic fluid feces staining degree. The way of delivery has different influence on fetus and newborn. Conclusion: The degree of meconium staining in amniotic fluid is positively correlated with fetal distress and neonatal asphyxia. Timely detection and correct treatment of amniotic fluid feces staining during labor is of great significance in improving maternal and fetal pregnancy outcome. In order to reduce the rate of neonatal asphyxia, clinical contamination of amniotic fluid above II degree, especially those complicated with abnormal fetal heart, should terminate pregnancy as soon as possible.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R714.43

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