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目的探讨胎心外监护与胎儿安危状态的关系。方法回顾性分析790例孕妇胎心电子监护图、羊水粪染、新生儿窒息情况。结果胎心监护正常组羊水粪染率3.86%,新生儿窒息率1.04%;平直型组羊水粪染率44.12%,新生儿窒息率11.76%;可变减组羊水粪染率16.67%,新生儿窒息率3.33%;晚减组羊水粪染率54.55%,新生儿窒息率15.15%;基线异常组羊水粪染率30%,新生儿窒息率3%。异常组与正常组比较,羊水粪染率显著增高,P<0.01;新生儿窒息率(除可变减组外)也显著升高,P<0.01,有显著差异。结论胎心外监护有助于早期发现胎儿宫内窘迫。
Objective To explore the relationship between fetal heart rate monitoring and fetal safety status. Methods A retrospective analysis of 790 cases of pregnant women fetus heart electronic monitoring chart, meconium amniotic fluid, neonatal asphyxia. Results In the fetal heart monitoring group, the rate of meconium-stained amniotic fluid was 3.86% and that of neonatal asphyxia was 1.04%. The rate of meconium-stained amniotic fluid was 44.12% in straight type group and 11.76% in neonatal asphyxia group. The variable rate of meconium-stained amniotic fluid was 16.67% Children asphyxia rate of 3.33%; late reduction group of amniotic fluid dye rate of 54.55%, newborn asphyxia rate of 15.15%; baseline abnormal meconium amniotic fluid rate of 30%, neonatal asphyxia rate of 3%. In the abnormal group, the meconium-stained rate of amniotic fluid was significantly higher than that of the normal group (P <0.01). Asphyxia rate (except for variable reduction group) also increased significantly (P <0.01). Conclusion Fetal heart monitoring helps to find early fetal distress.