首都医科大学学报 ›› 1997, Vol. 18 ›› Issue (2): 143-145.

• 论著 • 上一篇    下一篇

应用催产素与新生儿窒息关系的探讨

虞文焕   

  1. 首都医科大学附属北京天坛医院妇产科
  • 收稿日期:1996-12-06 修回日期:1900-01-01 出版日期:1997-04-15 发布日期:1997-04-15

Relationship between The Use of Oxytocin and Asphyxia Neonatorum

Yu Wenhuan   

  1. Department of Obs and Gyn, Beijing Tiantan Hospital, Affiliate of Capital University Of Medical Sciences
  • Received:1996-12-06 Revised:1900-01-01 Online:1997-04-15 Published:1997-04-15

摘要: 分析4年间发生的新生儿窒息125例.其中出生前曾使用1U%催产素催、引产者39例(31.2%),该组的窒息率为3.42%.同期自然临产新生儿的窒息率为1.63%,2组相比有非常显着性差异(P<0.01).39例应用催产素的产妇宫缩节律为每1~2min1次,产程中出现胎心监测异常改变20例,羊水出现胎粪污染21例.认为催产素如应用不当,可以导致胎儿宫内缺氧,给母婴带来不良后果.因此应严格掌握催产素的应用指征及使用方法.

关键词: 催产素, 缺氧, 新生儿窒息

Abstract: 125 cases of asphyxia neonatorum encountered within the past 4 years were analyzed.The incidence of the disease was 2.5%.Among them oxytocin had been used in 39 cases for hastening parturition and inducing labour(31.2%).In the group of hastening parturition and inducing labour the incidence of asphyxia neonatorum was 3.42 %.In natural labour the incidence of asphxia neonatorum was 1.63% at the same period(P<0.01).The concentration of oxytocin infusion was 1 U% in 39 cases, and the frequency of uterine contraction was 1~2 min. At the time of labour 20 cases of fetal monitorring patterns were abnormal and the amniotic fluids were stained with meconiumin 21 cases. One case died of embolism due to amniotic fluid. The study shows:improperly used oxytocin can lead to intrauterine anoxia of the fetus, posing untoward effects to both baby and mother.Mastering the conditions and methods of using oxytocin properly is very important.

Key words: oxytocin, anoxia, asphyxia

中图分类号: