陈洵艳

福建医科大学附属宁德市医院妇产科，福建宁德352100

羊水污染孕产妇不同分娩方式对新生儿结局的影响

陈洵艳

福建医科大学附属宁德市医院妇产科，福建宁德352100

目的 对羊水污染孕产妇不同分娩方式对新生儿结局的影响结果进行研究。方法 随机抽选该院320例羊水污染孕产妇，均为2014年5月—2016年3月间入院的产妇，对所有患者羊水污染程度进行调查，并对其分娩方式，新生儿结局进行调查。结果 羊水Ⅰ度污染的患者新生儿窒息率为11.6%；羊水Ⅱ度污染的患者新生儿窒息率发生率为33.1%；羊水Ⅲ度污染的患者新生儿窒息率为60.9%，3组比较差异有统计学意义，P＜0.05。羊水Ⅰ度污染的患者剖宫产新生儿窒息率为62.50%，阴道分娩新生儿窒息率为11.29%；羊水Ⅱ度污染的患者剖宫产新生儿窒息率为21.9%，阴道分娩新生儿窒息率为49.01%；羊水Ⅲ度污染的患者剖宫产新生儿窒息率为49.3%，阴道分娩新生儿窒息率为85.7%。结论 针对羊水污染程度不同的患者来说，要采取不同的方式进行干预，保证产妇、新生儿的安全。

羊水污染；剖宫产；阴道分娩；新生儿

［Abstract］Objective To study the effect of different delivery methods on neonatal outcome in amniotic fluid contaminated pregnant women.Methods Random decimation in 320 cases of meconium stained amniotic fluid of pregnant and lying in women，all personnel are admitted between May 2014 and March 2016，investigation of all patients with amniotic fluid pollution degree，and the ways of delivery and neonatal outcomes were investigated.Results Amniotic fluid I pollution degree of patients with neonatal asphyxia rate was 11.6%；pollution second degree amniotic fluid of patients with neonatal asphyxia incidence rate was 33.1%；meconium stained amniotic fluid of patients with neonatal asphyxia rate was 60.9%，three groups compared with the presence of significant difference，P＜0.05.Amniotic fluid I pollution degree of patients with cesarean section newborn asphyxia rate was 62.50%and vaginal delivery；neonatal asphyxia rate was 11.29%；2nd degree amniotic fluid pollution in patients with cesarean section newborn asphyxia rate was 21.9%，vaginal delivery；neonatal asphyxia rate was 49.01%；meconium stained amniotic fluid of patients with cesarean section birth neonatal asphyxia rate was 49.3%，vaginal delivery；neonatal asphyxia rate was 85.7%.Conclusion Different ways of intervention should be taken to ensure the safety of pregnant women and neonates in different ways for the patients with different degrees of amniotic fluid pollution.

［Key words］Amniotic fluid pollution；Cesarean section；Vaginal delivery；Newborn

羊水污染在分娩中较为普遍，羊水供应了胎儿发育需要的营养物质，一旦羊水污染不仅会对胎儿、新生儿的呼吸系统造成影响，同时也会导致新生儿智力、运动发育障碍，甚至会威胁患儿生命。羊水污染与遗传基因有着密切的联系，此外产妇年龄、原发疾病、环境等因素也是导致疾病发生的因素［1］。针对羊水污染的患者来说，分娩方式的选择非常重要，正确的分娩方式能够降低新生儿窒息率，提升胎儿存活率，同时能够保证产妇安全。……