胎儿窘迫

胎儿窘迫及小于胎龄儿发生率B组明显高于A组（P<0.05）；

The rate of fetal distress and small for gestational age in group B were higher than those in group A ( P < 0.05 ) .

妊娠期肝内胆汁郁积症（ICP）与胎儿窘迫

Intrahepatic cholestasis of pregnancy ( icp ) and fetal distress

目的：经胎羊腹主动脉注射微球的方法阻塞胎盘，建立胎儿窘迫的动物模型，研究脐动脉搏动指数（PI）的血液动力学特点。

Objective : To studying the hemodynamic characteristics of umbilical artery blood flow pulsatility in fetal sheep .

胎盘组织形态学联合CDFI对胎儿窘迫的相关性分析

The Correlation Analysis of Fetal Distress , Placental Morphology and CDFI

结果显示胎儿窘迫组母血及脐血NO水平均较对照组明显下降（P均<0.01），胎儿窘迫组与对照组相比：脐血pH下降（P<0.01）；

Results : Maternal and umbilical NO content in fetal distress group were significantly decreased than that in the control group ( P < 0.01 P < 0.01 );

结果①围产期发生的胎儿窘迫或出生时窒息，有可能使CBF减少；

Results Both of fetal distress or neonatal asphyxia might result in cerebral hypoperfusion .

Tei指数检测胎儿窘迫的临床价值

The values of detecting cardiac function in fetal distress by Tei index

而两组剖宫产率、产后出血率、胎儿窘迫及新生儿窒息率、药物副反应率均无显著差异（P＞0.05）。

There was no significant difference between the two groups in the occurrences of caesarean sections , postpartum hemorrhage , fetus distress , neonatal asphyxia , or pharmaceutical side effects ( P > 0 . 05 ) .

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 ) .

母胎循环中PGE2浓度与慢性胎儿窘迫的相关性研究

Association of Prostaglandin E_2 ( PGE_2 ) Concentrations in Maternal and Fetal Circulation with Chronic Fetal Distress

结论：ICP可导致早产，胎儿窘迫、新生儿窒息、羊水胎粪污染、新生儿吸入性肺炎。

Conclusion ICP can induce premature delivery , fetal distress , asphyxia of newborn , amniotic fluid meconium contamination , neonatal aspiration pneumonia .

引入STV值诊断胎儿窘迫的临床意义

The clinical significance of short-term variation in the diagnosis of fetal distress

临床胎儿窘迫和分娩时羊水胎粪污染的发生率在监护异常的三组中无差异（P＞0.05）。结果提示，应用脐动脉血流速度监护力这能较早地提供胎儿宫内危险信号。

P0.001 . The incidence of fetal distress or amniotic fluid stained with meconium at delivery has no difference among all these groups P0.05 . The results show that prenatal monitoring with umbilical artery velocity waveform could provide an early signal of fetal compromise .

在剖宫产指征中，社会因素剖宫产从A组第6位升到B组第2位，从5.83%上升到26.30%，而难产、胎儿窘迫及疤痕子宫指征相对下降。

In the cesarean section indications , social factor rises from 5.83 % , the sixth in Group A to 26.30 % , the second in Group B , while other factors such as dystocia , fetus aporia , scar uterus declined relatively .

结论：围产期胎儿窘迫及新生儿窒息是造成HIE的重要因素，严重脑损伤将影响患儿日后的生长发育。

Conclusions : The perinatal fetus respiratory distress syndrome and asphyxia neonatorum are chief causes of HIE , the prognosis of serious cerebral damage in neonates might be poor .

血清TBA值显著升高者，胎儿窘迫发生率显著增加，早产、围产儿死亡及小于孕龄儿发生率均显著增加。

When the serum TBA levels elevated , the incidences of meconium passage and fetal distress would be increased , accompanying with increased premature delivery and fetal death rate .

两组胎心率监护异常发生率、胎儿窘迫发生率及新生儿Apgar评分差异均无显著性。

There was no significant difference in frequency of abnormal fetal heart rate tracings or fetal distress and in the mean Apgar score between the two groups .

母尿UMI测定在胎儿窘迫监护中的意义

Significance of UMI determination of maternal urine to monitor of fetus suffered from fetal distress

无反应型预示胎儿窘迫及Apgar低分，其阳性率为57.1%；

The fetal out of condition and the neonatal I minute apgar score ≤ 7 were forecasted by Non-reactive response , the positive rate were seen in 57.1 % ;

结果：脐带异常组致胎儿窘迫，新生儿窒息，围产儿死亡，IUGR发生率明显高于无脐带异常组，（P<0.01）。

Results : Fetal distress , neonatal asphyxia , perinatal infant death , IUGR in abnormal cord group occurred significantly higher than in normal group ,( P < 0.01 ) .

而对照组前三位剖宫产指征依次为头盆不称、胎儿窘迫和其他，剖宫产对PROM母婴预后无特殊益处，相反却明显增加其新生儿及母体感染性疾病发生率。

However , cesarean section is of no particular benefit to babies and mothers in PROM group . Conversely , it can increase the morbidity of infective diseases in both mothers and babies .

结果C组分别与A、B组比较，平均引产成功率高，而平均总产程短、胎儿窘迫率、剖宫产率低（P<0.05），出血量、新生儿Apgar评分比较无显著差异（P>0.05）。

Results Compared with group A and B , group C showed no significant difference in terms of blood loss and neonate Apgar scoring , whereas demonstrated significantly higher induced rate , shorter entire labor duration , lower fetal distress rate and cesarean section rate .

脐带扭转组胎儿窘迫、低Apgar评分发生率明显高于无扭转组（P<0.05）。

The fetal respiratory distress and low Apgar value happened in the umbilical cord torsion group were significantly higher than those in the without torsion group ( P < 0.05 ) .

结果：ICP组羊水胎粪污染率、胎儿窘迫率、早产率、新生儿窒息率、新生儿吸入性肺炎率分别为30.56%、23.61%、16.67%、5.56%、16.67%。

Study the ultrastructure of the placental tissue with the electronic microscope . Consult The percentage of amniotic fluid meconium contamination , fetal distress , premature delivery , asphyxia of newborn , neonatal aspiration pneumonia respectively is 30.56 % .

结果NST无反应型加可疑型组S/D≥3者发生率及胎儿窘迫比反应组明显增高。

Results The incidence of systolic-diastolic ratio ( S / D )≥ 3 and fetal predicament in the suspicious and non-reactive NST group is significantly higher than that in the reactive group .

17例异常胎婴儿中有3例胎儿窘迫、1例新生儿高胆红素血症及1例无脑畸形儿的脐血或胎盘组织HPV阳性。

Among 17 cases of malformed or at risk fetuses and infants , HPV-DNA was positive in 5 samples of neonatal cord blood or placenta , including 3 cases of fetal distress , 1 case of neonatal hyperbilirubinemia and 1 case of anencephalus .

结论NST与多普勒脐动脉血流速度测定联合应用可以提高胎儿窘迫的诊断，为临床及时纠正宫内缺氧提供可靠的依据。

Conclusions The use of fetal non-stress test combined with fetal umbilical artery doppler velocimetry would improve the diagnosis for fetal anoxia , and give a reliable information to treat fetal anoxia for clinicians .

绕颈紧组胎心宫缩图（CTG）主要表现频发轻度可变减速（VD）及混合性减速图型其胎儿窘迫发生率显著高于绕颈松组和无绕颈组（P＜0.005）。

In taut UCAN group cardiotocograghy ( CTG ) showed mainly frequent light variable deceleration ( VD ) and mixed deceleration . Incidence of fetal distress in taut UCAN group was significantly higher than that in slack UCAN and no UCAN group ( P < 0.005 ) .

AFI及胎心监测两项指标均异常者胎儿窘迫及低Apgar评分发生率均高于单项指标异常组（P<0.05或P<0.01）。

The cases with both abnormal AFI and abnormal NST ( or OCT ) showed higher incidence of fetal distress and lower Apgar score than those with only one abnormal index ( P < 0.05 or P < 0.01 ) .

结论：慢性胎儿窘迫孕妇外周血中NRBC数目明显升高，为胎儿窘迫的临床预测和评估提供了一条新思路。

Conclusions The NRBC count was significantly increased in peripheral blood of pregnancies with chronic fetal distress , which can provide a new method for the prediction and evaluation of chronic fetal distress .