产时胎心监护563例临床研究

[目的]研究探讨产时胎心监护异常的作用及临床意义。[方法]回顾性分析某院近3年来563例单胎头位分娩时使用产科胎心监护系统进行产时胎心监护的资料,研究其与新生儿预后的关系。[结果]胎心监护评分8～10分组(正常组)388例,评分5～7分(可疑组)123例,评分1.4分(异常组)52例;其中异常组羊水胎粪污染率、新生儿Apgar评分≤7分者的比例、新生儿疾病的比例均高于正常组(P﹤0.01);异常羊水Ⅲ度污染率、新生儿Apgar评分≤7分者的比例高于可疑组,差异有统计学意义。胎心率异常的发生率为53%(195/368).出现基线变异减弱、重度变异减速、晚期减速、延长减速图形者新生儿窒息发生率高,差异有统计学意义(P﹤0.01)。[结论]产程中使用产科胎心监护系统进行胎心监护,如评分≤7,或出现异常胎监图形均应予重视,应及时了解羊水性状,以及早发现胎儿窘迫及时处理,减少新生儿窒息率、发病率,提高出生人口质量。

CLINICAL OBSERVATION OF FETAL HEART RATE MONITORING DURING LABOR

[Objective]To evaluate the role of fetal heart rate monitoring during labor.[Methods]Fetal heart rate monitoring was performed in 563 babies.[Results]388 cases were with normal score,123 were with score 5-7(suspicious group),52 were with abnormal score.The incidences of meconium stained amniotic fluid,Apgar score lower than 7 and newborn disease were higher in newborns with those in normal group.The incidences of meconium stained amniotic fluid and newborn disease were higher in abnormal group than those in...