【摘要】 目的 探讨胎儿窘迫的诊断指标及相关因素。 方法 分析466例以胎儿窘迫为指征行剖宫产病例，把握胎儿窘迫的不同诊断指标进行分组比较，统计其新生儿窒息率及胎儿窘迫相关因素百分率，并统计各胎儿窘迫相关因素的百分比。 结果 (1)胎儿窘迫诊断指标项目的增多检出的新生儿窒息率和胎儿窘迫相关因素百分比也相应升高。(2)胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。 结论 (1)胎儿窘迫应采取多指标来诊断。(2)对于有胎儿窘迫相关因素者，应密切监护，积极处理，适时行剖宫产术。

    【关键词】 胎儿窘迫 诊断指标 相关因素

    The diagnostic and associated factors of fetal distress cases

    Wu Wannian，Niu Muqing

    Department of Obstetrics and Gynaecology，the Third People's Hospital of ZhengZhou，Henan450000.

    【Abstract】 Objective To analyze the diagnostic criteria of fetal distress and it's related factors.Methods 466cases with indication of fetal distress undergoing cesarean section from January1996to May2003were retrospec-tively compared，the different diagnostic criteria，and analyzed the rate of neonatal asphyxia and the related factors of fetal distress.Results The rates of neonatal asphyxia and related factors of fetal distress were increased with multiple diagnostic criteria of fetal distress.The major related factors of fetal distress were:abnormality of umbilical cord ......