产时胎心监护异常临床分析

目的探讨产时胎心监护异常的影响因素,提高优生优育率.方法回顾分析2002年7月至2003年3月90例产时胎心监护图形异常的病例(观察组)和同期90例产时胎心监护图形正常的病例(对照组)的临床资料.结果产时胎心监护异常组的羊水粪染、羊水过少、脐带绕颈和剖宫产率明显高于产时胎心监护正常组(P<0.01);而两组间新生儿窒息情况差异无显著性意义(P>0.05).结论产时胎心监护能及时发现胎儿窘迫,通过适当处理可以降低新生儿窒息率及病死率.

Clinical analysis of abnormal intrapartum fetal heart rate tracing

Objective To investigate the risk factors of abnormal intrapartum fetal heart rate(FHR) tracing , increase the prepotency rate. Methods The abnormal intrapartum FHR tracing patterns of 90 cases were compared with 90 cases with normal ones from July 2002 to March 2003. Results The occurrences of meconium-stained amniotic fluid, oligohydramnios, umbilical cord loops and cesarean section were significantly higher in abnormal FHR tracing group compared with those with normal FHR tracing(P<0.01), but no significant difference in asphyxia neonatorum in two groups (P>0.05). Conclusion Intrapartum FHR tracing can find the fetal distress immediately, the proper treatment can decrease the rate of asphyxia neonatorum and mortality.