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胎儿宫内窘迫是新生儿窒息的主要原因之一。及早发现和妥善处理胎儿宫内窘迫是减少新生儿窒息的发生率、病死率及神经系统后遗症的重要步骤.本文仅以胎儿宫内窘迫发生后给予维生素C早期防治观察疗效报告如下1 临床资料1.1 来源187例采集于我院产科1991年6月～1993年6月出生时1分钟Apgar评分≤7分394例窒息儿,其中≤3分153例,有胎儿宫内窘迫发生103例,占67.3％;4～7分241例,胎儿宫内窘迫发生84例。新生儿窒息复苏运用A、B、C、D、E方式,其窒息并发症颅内损伤30例,均为重度窒息;吸入性肺炎74例,重度窒息58例;≤7天新生儿死亡21例,重度窒息占20例。1.2 结果按赵氏诊断标准187例胎儿宫内窘迫发生后即给予胎儿监护,吸氧及对症处理,同时采用静注维生素Clg加50％葡萄糖103例,未用组84例。其结果两组统计学处理如下:(1)出生1分钟Apgar评分:维C组≤3分41例,4～7分62例;未用组≤3分63例,4～7分21例X~2=23.21,P<0.001。(2)新生儿窒息复苏5分钟Apgar评分:维C组≤3分5例,4～7分37例,>7分61例,未用组≤3分17例,4～7分37例>7分30例,X~2=15.33,P<0.001。(3)窒息并发症及新生儿死亡:颅内损伤,维C组8例,未用组22例,X~2=11.66,P<0.001;吸入性肺炎,维C组30例,未用组
Fetal distress is one of the major causes of neonatal asphyxia. Early detection and proper treatment of fetal distress is to reduce the incidence of neonatal asphyxia, mortality and nervous system sequelae of an important step.This article only after the occurrence of fetal distress vitamin C early observation and treatment of efficacy reported as follows 1 clinical data 1.1 187 cases were collected in our hospital obstetrics from June 1991 to June 1993 1 minute at birth Apgar score ≤ 7 points and 394 cases of asphyxia, including ≤ 153 points 153 cases, with fetal distress occurred in 103 cases, accounting for 67.3% ; 4 to 7 minutes and 241 cases, 84 cases of fetal distress occurred. Neonatal asphyxia resuscitation using A, B, C, D, E, the asphyxia complications of intracranial injury in 30 cases, were severe asphyxia; 74 cases of aspiration pneumonia, severe asphyxia 58 cases; ≤ 7 days of neonatal death in 21 cases , Severe asphyxia accounted for 20 cases. 1.2 Results According to Zhao’s diagnostic criteria 187 cases of fetal distress after fetal care, oxygen and symptomatic treatment, while using intravenous vitamin Clg plus 50% glucose 103 cases, 84 cases not used. The results of the two groups were statistically processed as follows: (1) 1 minute Apgar score at birth: Victoria C group ≤ 3 points 41 cases, 4 to 7 points 62 cases; unused group ≤ 3 points 63 cases, 4 to 7 points 21 cases X ~ 2 = 23.21, P <0.001. (2) Apgar score of neonatal asphyxia resuscitation 5 minutes: 5 cases in dimension C ≤3, 37 cases in 4 ~ 7,> 7 in 61 cases, 17 cases in ≤3 points, 37 cases in 4 ~ 7 points> 7 points and 30 cases, X ~ 2 = 15.33, P <0.001. (3) Suffocation complications and neonatal death: intracranial injury, 8 cases in dimension C, 22 cases in unused group, X ~ 2 = 11.66, P <0.001;