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1、118例胎儿生长受限相关因素研究【摘要】目的探讨胎儿生长受限(FGR)发生的相关因素。方法对足月FGR病例118例进行回顾性分析。结果118例FGR母体因素38例(32.2%)，胎儿因素8例(6.8%)，胎盘因素7例(5.9%)，脐带因素36例(30.51%)，无明确原因29例(24.8%);阴道分娩组新生儿窒息24例，占41.4%,剖宫产组新生儿窒息24例，占10.3%，两组分娩方式比较差异有统计学意义(P＜0.0001)。结论①FGR的主要病因是母体因素，以妊娠并发症为首要因素，其中又以妊娠期高血压疾病占首位(1
2、3.9%)，其次为脐带、胎盘因素，而病因不明者达20.4%；②及时恰当地治疗妊娠合并症和并发症，孕期进行干预治疗，选择恰当的分娩时机和分娩方式，有利于减少FGR胎儿窘迫和新生儿窒息的发生。适当放宽剖宫产指征，有利于降低FGR的后遗症。【关键词】胎儿生长受限；相关因素；分娩方式Toanalysethecorrelativefatorsof118caseswithfetalgrowthrestrictionLUOXiao-dong�*，WUKai-qiong，GONGCheng-xiu�*.�*TheCentreforW
3、omenandChildrenCareinXinshanCounty,HubeiProvinceXinshan443700,China10【Abstract】ObjectiveTodiscussthecorrelativefactorsoffetalgrowthrestriction(FGR).Methods118casesofFGRwereretrospectivelyanalyzedduringthelastfiveyearsinourhospital.ResultsAmong118casesofFGR,ther
4、ewas38(32.2%)caseswhowerecausedbymaternalfactor,8(6.8%)casesbyfetalfactor,7(5.9%)casesbyplacentalfactor,36(30.51%)casesbyumbilicalcordfactor,29(24.8%)casesbyunknownfactor.Invaginalchildbirthgroup,therewas24(41.4%)caseswithnewbornasphyxia,andinthec-sectiongroup,
5、therewas24(10.3%)caseswithnewbornasphyxia.Therewassignificantdifferencebetweenthem(P＜0.0001).Results①ThemaincauseofFGRismaternalfactorinwhichthepregnantcomplicationsaretheprimaryhighriskfactor.Amongthem,thehypertensivedisordercomplicatingpregnancyaccountsfor13.
6、9%anditisthefirstplace.Nextly,itisrespectivelytheunbilicalfactor,theplacentalfactor,anditaccountsforwith20.4%；②Ithelpstodecreasetheincidenceoffetaldistressandneonateasphyxiathatthe10complicationsandsubsequentsyndromeofpregnanceweretreatedtimelyandrightly,andthe
7、interveningtreatmentwasoperatedduringthepregnancy.Broadeningtheindexofc-sectionproperlyisadvantageousofreducingthesequelasofFGR.【Keywords】Fetalgrowthrestriction；Correlativefators；Parturitionways胎儿生长受限(fetalgrowthrestriction,FGR)是围生期主要并发症之一，我国的发病率为6.39%。FGR不仅影响胎
8、儿的发育，而且远期还影响儿童和青春期的体能和智能发育[1]，是高危妊娠中的重大问题，因此越来越受到产科工作者的高度重视。FGR的病因有母体因素、胎儿因素、胎盘因素和脐带因素。本文对我院足月FGR118病例临床资料进行回顾性分析，探讨FGR发生的相关因素，从而达到早发现、早诊断、早治疗，预防FGR的合并症及并发症。1资料与方法1.1研究对象我院2
