羊水粪染的临床意义一直是产科领域内有争议的问题,长期以来形成了两种不同的观点,即“胎儿窘迫论”和“胎儿成熟论”。为了解羊水粪染的临床意义及其对新生儿的影响,现对我院两年来出现羊水粪染的产例进行回顾性分析。 1 资料与方法 1.1 对象:1993年1月～1994年12月在我院分娩产妇2521例,羊水粪染者491例。单胎、头位、孕周≥37周1376例,其中羊水粪染218例,除去资料不全的42例,其余176例作为研究对象。 1.2 方法:对破膜后出现羊水粪染者,按粪染程度分为3度。胎儿监护出现以下任何一项时判定为胎心异常:①胎心率持续>160次/分或<120次/ The clinical significance of meconium-stained amniotic fluid has long been a controversial issue in the field of obstetrics, which has long led to two different perspectives: “fetal distress” and “fetal maturity.” In order to understand the clinical significance of meconium amniotic fluid and its impact on newborns, now our hospital for two years occurred amniotic fluid meconium-producing cases were retrospectively analyzed. 1 Materials and Methods 1.1 Object: January 1993 ~ December 1994 in our hospital 2521 cases of maternal labor, amniotic fluid stained 491 cases. Single-fetus, head position, gestational age ≥37 weeks 1376 cases, of which 218 cases of amniotic fluid feces, remove incomplete data of 42 cases, the remaining 176 cases as the research object. 1.2 Methods: After the rupture of the amniotic fluid infected persons, according to the degree of fecal contamination is divided into 3 degrees. Fetal custody of any one of the following when the determination of abnormal fetal heart rate: fetal heart rate continued> 160 beats / min or <120 /