电子胎心监护在胎儿宫内窘迫中的临床应用价值分析

目的探讨电子胎心监护在胎儿宫内窘迫中的临床应用价值。方法选择2010年1月至2011年6月在我院产科住院分娩的566例孕妇,均行电子胎心监护,根据检查情况分为A组(阳性组)、B组(阴性组)和C组(可疑组)。结果 A、B、C三组的羊水粪染(Ⅱ-Ⅲ度)、Apgar评分≤7分(出生1min)、胎儿窘迫发生率,差异均有统计学意义(P<0.05)。A组和B组的剖宫产率显著高于C组(P<0.001),A和B之间比较差异没有统计学意义(χ2=1.862,P=0.172)。胎心监护诊断胎儿窘迫的灵敏度和特异度分别为52.9%和97.9%。结论电子胎心监护能够在早期方便地发现胎儿宫内窘迫,联合其他方法或许可以消除假阳性,提高诊断水平。

Clinical Value Analysis of Fetal Heart Monitoring to Predict Fetal Distress

Objective To investigate the clinical application value of electronic fetal heart monitoring in fetal distress.Methods 566 cases pregnant women in our hospital from Jan 2010 to Jun 2011 were chosen,Electronic fetal heart monitoring were performed.According to the test,they were divided into group A（positive group）,B group（negative group）,C group（suspected group）.Results The rate of stained amniotic fluid（Ⅱ-Ⅲ degree）,Apgar score≤7（born 1 min）,fetal distress in group A,B and C were all different from each other（P0.05）.The rate of cesarean section situation in group A and B were significantly higher than group C（P0.001）,but there are no significant difference between each other（χ2=1.862,P=0.172）.The sensitivity and specificity of electronic fetal heart monitoring in fetal distress were 52.9% and 97.9%.Conclusion Electronic fetal heart monitoring is an efficient and convenient early diagnosis fetal distress,the combination of other methods may make up for the high false positive rate of CTG and can improve the diagnosis of fetal distress.