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[基于医院的羊水胎粪污染流行病学]

[The epidemiology of meconium stained amniotic fluid on hospital basis].

作者信息

Zhu Lan, Wong Felix, Bai Jun

机构信息

Department of Gynecology and Obstetrics, PUMC Hospital, CAMS, PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2003 Feb;25(1):63-5.

Abstract

OBJECTIVE

To explore the epidemiology of meconium stained amniotic fluid pero-delivery.

METHODS

6,206 one-fetal delivery cases were divided into meconium stained amniotic fluid and normal amniotic fluid groups. Statistics were analysed on two groups using Cohort study.

RESULTS

Incidence of meconium stained amniotic fluid was 16.4%. There was no significant difference on maternal medical complication between two groups. The percentage of parity, gestational week > or = 42 weeks and big birth weight were higher in meconium stained amniotic fluid group than that in normal amniotic fluid group (P < 0.001). The average Apgar score in meconium stained amniotic fluid group was lower than that in normal amniotic fluid group (P = 0.001). The percentage of stillbirth, low birth weight and transferred newborn care unit in meconium stained amniotic fluid group were higher than that in normal amniotic fluid group (P < 0.001).

CONCLUSIONS

The relative factors on meconium stained amniotic fluid were maternal parity, gestational weeks > or = 42 weeks and big birth weight. No correlation between meconium stained amniotic fluid and maternal medical complication. Morbidity of newborn baby was higher in meconium stained amniotic fluid. Meconium stained amniotic fluid is a important clinical factor on evaluating pregnancy outcome.

摘要

目的

探讨分娩时羊水胎粪污染的流行病学情况。

方法

将6206例单胎分娩病例分为羊水胎粪污染组和羊水正常组。采用队列研究对两组进行统计学分析。

结果

羊水胎粪污染发生率为16.4%。两组产妇的医疗并发症无显著差异。羊水胎粪污染组的经产妇比例、孕周≥42周及出生体重较大者的比例均高于羊水正常组(P<0.001)。羊水胎粪污染组的平均阿氏评分低于羊水正常组(P = 0.001)。羊水胎粪污染组的死产、低出生体重及转入新生儿重症监护病房的比例均高于羊水正常组(P<0.001)。

结论

羊水胎粪污染的相关因素为产妇经产、孕周≥42周及出生体重较大。羊水胎粪污染与产妇医疗并发症无相关性。羊水胎粪污染时新生儿发病率较高。羊水胎粪污染是评估妊娠结局的重要临床因素。

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