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新生儿的酸碱状态主要是估计分娩中的胎儿状况,Apgar评分则估计妊娠以及分娩中的胎儿状况。前者正常而后者异常的新生儿在畸形、产伤、使用中枢抑制药和喉部插管的病例多见。Apgar评分正常的新生儿酸中毒与母体酸中毒和脐带问题有关。本文探讨在非选择性足月顶先露分娩后人群,临床诊断手术分娩的胎儿窘迫与脐动脉血pH值、1分钟Apgar评分之间的关系。研究对象为连续接纳的3916个37～42孕周分娩的婴儿。1分钟Apgar评分≤7分为低值,酸中毒定为脐血pH≤7.15。婴儿依据分娩方式分三组:①自然分娩组;②疑有胎儿宫内窘迫行手术分娩组(ODFD);③因其他原因行手术分娩组(ODnFD)。
The newborn’s acid-base status is mainly to estimate the status of the fetus during delivery, Apgar score is estimated during pregnancy and childbirth in the fetus. The former is normal and the latter is abnormal newborn in deformity, birth trauma, the use of central suppressive drugs and laryngeal intubation cases more common. Apgar normal neonatal acidosis is associated with maternal acidosis and umbilical cord problems. This article explored the relationship between fetal distress and the umbilical arterial blood pH, 1-minute Apgar score in non-selective left-footed adults after first delivery and in clinically diagnosed surgical deliveries. The study population consisted of 3,916 infants born 37 to 42 weeks gestation consecutively. 1 minute Apgar score ≤ 7 points for the low value, acidosis as cord blood pH ≤ 7.15. Infants according to mode of delivery divided into three groups: ① natural childbirth group; ② suspected intrauterine fetal distress surgery group (ODFD); ③ due to other reasons, surgical delivery group (ODnFD).