發(fā)布時(shí)間：2018-05-29 17:46

  本文選題：羊水糞染 + 妊娠結(jié)局�。� 參考：《吉林大學(xué)》2014年碩士論文

【摘要】：目的: 探討32745例頭位生產(chǎn)發(fā)生羊水糞染的新生兒，根據(jù)羊水糞染產(chǎn)科原因、程度、發(fā)生孕周及新生兒體重和新生兒窒息情況進(jìn)行了相關(guān)性分析，，以探討羊水糞染的診斷、臨床意義及相關(guān)因素對(duì)妊娠結(jié)局的影響。 方法： 選擇2011年1至12月份我國(guó)14個(gè)代表城市的地方醫(yī)院住院分娩患者共112441例，其中頭位分娩過程中出現(xiàn)羊水糞染32745例（發(fā)生率為29.12%）作為研究對(duì)象，對(duì)羊水糞染的相關(guān)因素、分娩方式，圍生兒結(jié)局進(jìn)行分析。 結(jié)果: 研究對(duì)象中過期妊娠、胎膜早破、臍帶異常、妊娠高血壓疾病、胎兒發(fā)育異常、羊水過少、孕周等因素均會(huì)不同程度的導(dǎo)致羊水糞染，同時(shí)羊水糞染程度，分娩方式對(duì)胎兒及新生兒都有不同程度的影響。 結(jié)論: 羊水糞染程度與胎兒宮內(nèi)窘迫、新生兒窒息呈正相關(guān)，產(chǎn)程中及時(shí)發(fā)現(xiàn)并正確處理羊水糞染，對(duì)改善母兒妊娠結(jié)局意義重大。臨床對(duì)羊水II度以上污染,尤其合并胎心異常者應(yīng)盡快終止妊娠，以降低新生兒窒息率。
[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.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R714.43

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