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目的对胎儿宫内窘迫剖宫产指征的构成比等变化进行分析,探讨指征降低方法。方法 580例胎儿宫内窘迫剖宫产患儿临床资料进行观察分析,并对降低胎儿宫内窘迫剖宫产指征方法进行研究。结果胎儿宫内窘迫剖宫产发生率逐年增加,胎儿心率异常是导致胎儿宫内窘迫的重要原因,其次为羊水污染;术前诊断宫内窘迫准确率为20.7%,术前未诊断出占剖宫产17.2%。结论全面综合患者各项资料评价剖宫产指征,提高诊断准确性,减少宫内窘迫发生率,提高出生人口素质。
Objective To analyze the constituent ratio of cesarean section indications in fetal distress and to discuss the methods of reducing the indications. Methods The clinical data of 580 cases of cesarean section with fetal distress were observed and analyzed, and the methods to reduce the cesarean section of fetal distress were studied. Results Fetal distress rate of cesarean section increased year by year. Abnormal fetal heart rate was the main cause of fetal distress, followed by amniotic fluid contamination. The accuracy of preoperative diagnosis of intrauterine distress was 20.7% Palace 17.2%. Conclusion Comprehensive analysis of all patient information cesarean indications to improve the diagnostic accuracy and reduce the incidence of intrauterine distress and improve the quality of birth population.