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1、硫酸镁在胎儿宫内窘迫复苏治疗中的疗效观察林月丽1林也容1陈慧1张兰1邹双优1尹晶1郁毅刚2(1解放军第一七五医院暨厦门大学附属东南医院妇产科福建漳州363000)(2解放军第一七五医院暨厦门大学附属东南医院神经外科福建漳州363000)【摘要】目的探讨硫酸镁对晚期及分娩期胎儿宫内窘迫复苏治疗的疗效观察及分析。方法选取2011年1月〜2011年3月在我院妇产科治疗、分娩的孕晚期产妇600例，随机分为观察组和对照组，各300例。对其中的宫内窘迫孕产妇，观察组采用硫酸镁宫内复苏术，并予低流量吸氧及左侧卧位进行宫内复苏,而对照组采用传统的治疗方法。比较两组治疗后的胎心率的
2、变化、分娩方式及羊水状态。结果观察组与对照组对比，分娩期的胎窘剖宫产率降低、羊水状态提高，孕晚期胎心率恢复率高，两组相比较差异有统计学意义(P<0.05)o结论硫酸镁宫内复苏术治疗胎儿窘迫，效果好，方法简单易行，价格便宜，值得临床推广应用。【关键词】硫酸镁宫内复苏术胎儿窘迫【中图分类号】R714.5【文献标识码】A【文章编号】2095-1752(2013)35-0065-02ObservationofresuscitationcurativeeffectoffetaldistressinuterusbygivingmagnesiumsulfateLINYue
3、-lil,LINYe-rong1*,CHENHuil,,etal.1.DepartmentofObstetricsandGynecology,The175thHpspitalofPLA(AffiliatedDongnanHospitalofXiamenUniversity),FujianZhangzhou363000,China;2DepartmentofNeurosurgery,The175thHpspitalofPLA(AffiliatedDongnanHospitalofXiamenUniversity),FujianZhangzhou363000,Chin
4、a.[Abstract】ObjectiveObserveandanalysisresuscitationcurativeeffectoffetaldistressinuterusbygivingmagnesiumsulfate.Method600latepregnantpuerperalwhoweretreatedanddeliverinOurhospitalobstetricsandgynecologyfromJanuary2011toMarch2011werecollected,andthenweredividedintoobservationgroupand
5、controlgrouprandomly,bothofwhichhad300patient.Observationgroup’spregnantwomenweregivenaresuscitationinuterusbyapplyingmagnesiumsulfate,andsuppliedlowflowoxygenandleftlateralpositiontoresuscitation.Controlgroup’spregnantwomenweregiventraditionaltreatment.Finally,comparedtwo
6、group’sfetalheartrate,deliverymodeandAmnioticfluid.ResultObservationgroup’scesareandeliveryrateislowerthancontrolgroup’s.Observationgroup’sAmnioticfluidwereimprovedmorewellthancontrolgroup,andtherecoveryrateoffetalheartratewasalsohigherthancontrolgroup’s.
7、ConclusionCurativeeffectoffetaldistressinuteruswhichwastreatedbygivingmagnesiumsulfate,thatisasimpleandpracticableway,isgoodanddeservetobepopularizedinclinicalapplication.【Keywords]magnesiumsulfateresuscitationinuterusfetaldistress胎儿宫内窘迫(fetaldistress)主要是指胎儿在母亲子宫内有缺氧征象，且危及胎儿健康和生命的现象。近
8、年来，本病
