羊水粪染

而羊水粪染率两组间差异无统计学意义（P＞0.05）。

There were no significant difference between high ALT or AST and their control groups in meconium-staining amniotic fluid ( P0.05 ) . CONCLUSOIN : 1 .

比较新生儿体重、身长，胎盘重量，羊水粪染和Apgar评分情况。

Sixty newborns ' weight , stature , Apgar score , placental weight and meconium staining of amniotic fluid are compared .

结论A组其羊水粪染率、胎儿宫内窘迫率、因胎儿宫内窘迫行剖宫产率均大于B组（P<001）。

Results : The meconium pollution rate of amniotic fluid , the incidence of fetal intra-uterine distress and the rate of hysterotokotomy for fetal intra-uterine distress in A group were all in excess of thos in B group ( P < 0.01 ) .

羊水粪染组的死产率、低体重儿比例和新生儿在出生4h后转入儿科病房比例均高于正常羊水组（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 ) .

母体的内科合并症，在羊水粪染组和正常羊水组均无明显差异。

There was no significant difference on maternal medical complication between two groups .

方法：回顾分析118例羊水粪染患者的产科临床资料与新生儿情况。

Methods : Analysis of 118 meconium stained amniotic fluid patient and newborn situation .

羊水粪染程度与胎儿宫内窘迫关系的临床研究

Clinical study of the correlation of the degree of amniotic fluid meconium and fetal distress

结论羊水粪染程度与新生儿酸中毒及胎心异常明显相关；

Conclusion Amniotic fluid meconium was obviously correlated with fetal acidosis and abnormal fetal heart rate .

孕中期及孕晚期胎儿羊水粪染与妊娠结局的分析

Analysis of the Relationship Between Meconium Stained Amniotic Fluid at Metaphase and Advanced Stage Pregnancy and its Outcome

分娩时羊水粪染时间大于4小时者，新生儿窒息率占53.6%；

For those newborns who were delivered 4 hours after MSAF , The rate of neonatorum asphyxia was 53.6 % ;

结论胎心监护异常伴羊水粪染Ⅱ°～Ⅲ°为胎儿窘迫的可靠依据。

Conclusion : Abnormal fetal monitoring accompanying amniotic fluid pollutioned ⅱ ~ ° - ⅲ ~ ° was reliable reference for fetal distress .

结果羊水粪染组灰阶及分贝最大值明显高于正常羊水组。

Results The maximum values of GS and dB in meconium stained amniotic fluid group were higher than those in normal amniotic fluid group .

但两组胎儿窘迫、新生儿窒息和羊水粪染发生率比较，差异无统计学意义（P>0.05）。

However the fetal distress , meconium passage and newborn asphyxia rate had no statistical difference between the two groups ( P > 0.05 ) .

方法随机选择羊水粪染Ⅰ度、Ⅱ度、Ⅲ度者各60例，进行胎心监护及新生儿血气分析，并以60例羊水正常的产妇作对照。

Methods 180 pregnant women with amniotic fluid meconium of Degrees ⅰ,ⅱ and ⅲ( 60 cases in each group ) and 60 normal pregnant women were randomly chosen .

胎儿宫内窘迫、羊水粪染、剖宫产率明显增高（P<0.01），新生儿窒息的发生率增高（P<0.05）。

The rate of fetal distress , amniotic fluid turbidity , and cesarean section increased greatly ( P < 0.01 ), asphyxia neonatorum increased ( P < 0.05 ) .

组引产成功率最高，但发生子宫过强收缩、羊水粪染机率明显高于组和组（P<0.05）。

Group ⅲ had the highest successful rate of induced labor , but the incidences of over intensity uterine contraction and amniotic fluid feces contaminated were evidently higher than group ⅰ and ⅱ( P < 0.05 ) .

潜伏期延长组中难产发生率及羊水粪染率分别占3710%和4355%，明显高于对照组（分别为1294%和2353%）。

The incidence of dystocia and the amniotic fluid meconium rate in the study group were respectively 37 10 % and 43 55 % , which was significantly higher than those in the control group ( 12 94 % and 23 53 % ) .

结果高危妊娠组胎心基线率变异消失或减弱为74.3%，剖宫产率占91.4%，羊水粪染率占71.4%，新生儿窒息率占28.6%，有2例围产儿死亡；

Results Rate of reduction or disappearance of baseline variability in high risk pregnancy group was 74.3 % , caesarean section was 91.4 % , meconium stained amniotic fluid was 71.4 % , and asphyxia neonatorum was 28.6 % and there were 2 perinatal newborns dead ;

结果：（1）羊水Ⅱ°粪染组脐动、静脉血SaO2、PO2值低于正常羊水组（P＜0.05）；

The results showed that ( a ) SaO2 , PO2 in the cord artery and vein of the ⅱ meconium amniotic fluid group ( the ⅱ group ) were lower than the control group ( P < 0.05 ) .

其中羊水Ⅲ度粪染者中新生儿窒息率占35.9%；

Among the cases of the third degree MSAF , the rate of the newborns severe neonatorum asphyxia was 35.9 % ;

结果第二产程组发生胎儿窘迫率最高。四种诊断标准中，以单纯羊水Ⅲ度粪染为其诊断标准的胎儿窘迫发生率，产前组及潜伏期组高于其他两组。

Results The morbid rate of fetal distress in the expulsive stage group was the highest among the four sets of diagnostic criteria .

脐带绕颈组S/D值升高，臀位、早产、胎盘异常、羊水过少或粪染组S/D值均高于对照组。

The UmA S / D in patients with umbilical cord coiling , breech presentation , preterm labor , oligoamnios or placental abnormality was higher than that in controls .

结果：联合监测双项异常的新生儿窒息数和羊水Ⅲ°粪染数明显高于联合监护均正常和单项监测异常者（P<0.005）。

Results : The number of neonatal asphyxia and ⅲ° faecal contamination of amniotic fluid in the group with both items abnormal by united surveillance was much higher than that in the group with both items normal or only one items abnormal ( P < 0.005 ) .

羊水过少组羊水粪染、胎儿窘迫、胎粪吸入综合征（MAS）的发生率明显高于对照组（P0.05，P0.01）。

Occurrence of meconium - stained fluid , fetal distress , and meconium aspiration syndrome ( MAS ) increased in oligohydramnios group ( P0.05 ) .

结果：羊水指数低者羊水粪染率及新生儿低评分发生率高；

Results : A low amniotic fluid index was accompanied with high rate of feces pollution and high rate of low Apgar score ;

羊水过少组官内窘迫、羊水粪染、Apgar低评分、新生儿窒息以及新生儿死亡，剖宫产率均高于羊水适量组（P均<0.01）。

The incidence of fetal distress , meconium-strained fluid , low apgar scores , neonatal asphyxiation and death , and Caesarean section in the group with oligohydramnios , was significantly higher than that in the group with normal amniotic fluid .

结果羊水过少组中羊水Ⅱ度以上粪染、胎盘成熟Ⅲ+级及胎盘钙化、胎儿宫内窘迫、新生儿窒息率、产后出血率及剖宫产率明显高于羊水正常组。

Results The rate of amniotic fluid turbidity ⅱ & ⅲ degree , placental maturity ⅲ + degree and calcification , fetal distress , asphyxia neonatorum , labor induced , postpartum hemorrhage and cesarean section in the oligohydramnios group were significantly higher than those in the normal amniotic fluid group .

根据手术分娩后羊水性状分为正常羊水组（16例）及羊水粪染组（11例），比较两组间EI灰阶（GS）、分贝（dB）差异。

After operation , they were divided into two groups according to the character of the amniotic fluid , and compared their difference between gray scale ( GS ) and decibel ( dB ) .