农村地区实行分娩期连续胎儿监护的比较研究

目的探讨农村基层医疗机构应用连续胎儿监护在减少胎儿宫内窘迫和新生儿窒息中的作用。方法选取2001年1月至2006年7月在我院分娩的孕周≥37周的孕妇为研究对象,根据监护方式分为连续胎心监护组(实验组)和非连续胎心监护组(对照组),分析两组胎儿窘迫检出率及新生儿窒息发生率。结果实验组胎儿窘迫检出率明显升高,两组比较,差异有显著意义(P<0.05);新生儿窒息发生率明显下降,两组比较,差异有显著意义(P<0.05)。结论连续性胎心监护可及时地反映胎儿在宫内缺氧程度及动态变化,筛查胎儿窘迫,预测围出儿结局,减少新生儿窒息的发生,有利于农村地区产科质量的提高。

Study of continuous electronic heart rate monitoring during delivery period in rural district

Objective To explore the function of continuous electronic heart rate monitoring to reduce fetal distress and asphyxia of the newborn. Methods Pregnant woman more than 37 weeks in our hospital were chosen from January 2001 to July 2006, these participants were classified to test group (group of continuous electronic heart rate monitoring) and control group (group of non-continuous electronic heart rate monitoring) based on means of monitoring. Rate of fetal distress and asphyxia of the newborn were analyzed. Results Rate of the test group for fetal distress was greatly raised by continuous electronic heart rate monitoring, there was statistic significance (P<0.05), and incidence rate of asphyxia of the newborn declined remarkably, there was also statistic significance (P<0.05). Conclusion Continuous electronic heart rate monitoring could indicate in time the anoxic degree of the fetus and dynamic change, screen the fetal distress, forecast prognosis of the perinatal infant, betimes take a rightly measure for doctor, reduce asphyxia of the newborn and improve quality of maternity department.