胎心监护异常剖宫产临床分析

目的探讨胎心监护异常对临床剖宫产率的影响。方法对300例因胎心监护异常行剖宫产资料进行统计分析,观察胎心监护异常与术中羊水污染、新生儿窒息和脐带异常的关系及高危妊娠、非高危妊娠与羊水污染、新生儿窒息关系。结果缩宫素激惹试验(OCT)阳性组羊水污染率51.32%,新生儿窒息率15.93%;OCT可疑组羊水污染率28.87%,新生儿窒息率6.95%。2组比较有显著性差异(P0.05)。OCT阳性组脐带异常率37.10%,OCT可疑组40.8%,2组比较无显著性差异(P0.05)。高危妊娠羊水污染发生率49.47%,新生儿窒息率12.63%;非高危妊娠羊水污染发生率3.64%,新生儿窒息率2.83%。两者相比有显著性差异(P0.05)。结论胎心监护异常是行剖宫产术的一个重要指征,但不是绝对手术指征,应结合胎儿其他因素综合考虑。

Clinical analysis of cesarean section because of abnormity of fetal heart monitor

Objective It is to approach the influence of abnormity of fetal heart monitor on cesarean section rate.Methods The data of 300 cases undergoing cesarean section because of abnormity of fetal heart monitor were performed statistical analysis.The relations between amniotic fluid pollution,neonatal asphyxia and abnormity of fetal heart monitor were observed,and the relations between amniotic fluid pollution,neonatal asphyxia and high-risk pregnancy or no high-risk pregnancy were observed,too.Results The rate of amniotic fluid pollution was 51.32% in positive OCT group and 28.87% in doubtful OCT group,the rate of neonatal asphyxia was 15.93% in positive OCT group and 6.97% in doubtful OCT group,there was significant difference between two groups(P<0.05).The rate of abnormity of umbilical cord was 37.1% in positive OCT group and 40.8% in doubtful OCT group(P>0.05).The rate of amniotic fluid pollution was 51.32% in positive OCT group and 28.87% in doubtful OCT group.The rate of amniotic fluid pollution was 49.47% in high-risk pregnancy group and 3.64% in no high-risk pregnancy group,the rate of neonatal asphyxia was 12.63% in high-risk pregnancy group and 2.83% in no high-risk pregnancy group,there was significant difference between two groups(P<0.05).Conclusion The abnormity of fetal heart monitor is an important indication of cesarean section,but it is no the absolute indication,and other else factors ought to be synthesized.