介绍一种根据妊娠合并症,产程时间、产时用药、胎心改变及羊水性质等5个方面的情况,综合评分诊断胎儿宫内窘迫的新方法。诊断标准是,≤6分者为宫内窘迫,7分者可疑,8～10分者正常。随机抽取自然及阴道手术分娩的762例,采用本法及传统的胎心一羊水诊断法进行胎儿宫内窘迫的回顾性诊断,两法诊为宫内窘迫者的新生儿窒息发生率分别是52.3％和37.7％(P<0.05),提示本法较传统法的准确性更高。 A new method of diagnosing fetal distress based on the five aspects of pregnancy complications, labor time, medication during labor, changes in fetal heart rate and amniotic fluid was introduced. Diagnostic criteria is, ≤ 6 points for intrauterine distress, 7 points were suspicious, 8 to 10 points were normal. A total of 762 cases of spontaneous and vaginal surgery were randomly selected. The retrospective diagnosis of fetal distress was made by this method and the traditional fetal heart-amniotic fluid diagnostic method. The incidences of neonatal asphyxia were 52.3 % And 37.7% respectively (P <0.05), suggesting that this law is more accurate than the traditional method.