Gu B M, Tao H Q
Hospital of Maternal and Child Hygiene, Suzhou.
Zhonghua Fu Chan Ke Za Zhi. 1991 May;26(3):153-4, 187-8.
From Oct 1985 through Sept 1986 and from Oct 1988 through Sept 1989, a total of 1,704 cases were clinically diagnosed as having fetal distress. The results of analysis showed no significant differences (P greater than 0.05) between fetal distress and fetal sex, and age of pregnancy women respectively (P greater than 0.05), but there was a significant difference between fetal distress and gestational weeks. (P less than 0.01) and birth weight (P less than 0.05). The highest incidence occurred in postterm pregnancy. The number of neonatal asphyxia cases with fetal distress accounted for 61.08% of the total of neonatal asphyxia. The more indexes of the fetal distress, the higher is the incidence rate of asphyxia neonatorum. Among the complications of pregnancy, the fetal distress rate due to pregnancy induced hypertension is the highest. The results suggested that by using multiple item examinations, early diagnosis of fetal distress and prompt management are possible to decrease the asphyxia rate and the prevention of complications of pregnancy is important to reduce the fetal distress.
从1985年10月至1986年9月以及从1988年10月至1989年9月，共有1704例临床诊断为胎儿窘迫。分析结果显示，胎儿窘迫与胎儿性别以及孕妇年龄之间分别无显著差异（P＞0.05），但胎儿窘迫与孕周之间存在显著差异（P＜0.01）以及与出生体重之间存在显著差异（P＜0.05）。发病率最高发生在过期妊娠。伴有胎儿窘迫的新生儿窒息病例数占新生儿窒息总数的61.08%。胎儿窘迫的指标越多，新生儿窒息的发生率越高。在妊娠并发症中，妊娠期高血压所致的胎儿窘迫率最高。结果表明，通过多项检查，早期诊断胎儿窘迫并及时处理有可能降低窒息率，并且预防妊娠并发症对于减少胎儿窘迫很重要。
