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胎心入室试验监测胎儿宫内窘迫预后的价值(附578例病例分析)

ROLE OF FETAL HEART RATE CHANGES WITH ADMISSION TEST IN FETAL DISTRESS PROGNOSIS
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摘要 目的 :探讨胎心入室试验对预测新生儿宫内窘迫预后的价值。方法 :对 578例临产孕妇进行胎心入室试验 ,记录产程、分娩方式、羊水、脐带及胎盘情况和新生儿Apgar评分。结果 :578例孕妇中 ,入室试验反应型、可疑型和危险型分别占 77 1 6%、 1 0 38%、1 2 46% ;总新生儿窒息率为 6 75% ,反应型组窒息率为 2 2 4 % ,危险型组为 33 33%。羊水污染率反应型组为 1 7 0 4 % ,危险型组为 68 0 6% ,两组间差异显著 (P <0 0 1 )。结论 :胎心入室试验可预测胎儿预后 ,是产时简单经济的筛查方法。 Objective:To study role of fetal heart race changes with admission test in fetal distress prognosis.Methods:Five hundreds and seventy eight women were investigated in early labor recording amniotic fluid,placenta and Apgar score of newborn.Results:The admission tests in early labor were performed in these 578 subjects.The test was reactive in 77 16%,the equivocal test and the ominous tests occurred in 10 38% and 12 46% respectively.The neonatal asphyxia rate were 6 75%.In reactive and ominous group,it was 2 24% and 33 33% respectively.The meconium stained amniotic fluid rate was 17 04% and 68 06% respectively.The difference between the two situations was significant( P <0 01).Conclusion:The admission test have some predictive well being for the next few hours or labor,and is simple and convenient for screening purposes.
作者 周燕 李敏
出处 《中日友好医院学报》 2000年第1期36-39,共4页 Journal of China-Japan Friendship Hospital
关键词 胎儿监测 诊断试验 胎儿窘迫 fetal monitoring diagnostic tests,routine fetal distress
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二级参考文献4

  • 1刘庸,中华妇产科杂志,1995年,30卷,67页
  • 2李真,中国实用妇科与产科杂志,1993年,4卷,217页
  • 3孙大为,中华妇产科杂志,1993年,29卷,322页
  • 4严平,中华妇产科杂志,1993年,8卷,217页

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