摘要
目的 :探讨胎儿电子监护对预测胎儿宫内窘迫的作用。方法 :对 2 0 0 0年 5月至 2 0 0 1年 4月在我院分娩的≥ 37孕周的 1196例孕妇 (观察组 )进行产前、产时电子监护 ,其中作NST 6 0 0例 ,OCT或CST 6 12例 ,并与 1999年 5月至 2 0 0 0年 4月在我院分娩的≥ 37孕周未行胎儿电子监护的 1188例孕妇 (对照组 )进行比较。结果 :对照组与观察组胎儿窘迫发生率分别为9.6 %、13.1% ,新生儿窒息发生率分别为 4.9%、2 .5 % ,剖宫产率分别为 19.6 %、18.3% ,NST无反应型、OCT或CST阳性的孕妇其胎儿窘迫、新生儿窒息、剖宫产率明显高于NST反应型及OCT或CST阴性的孕妇。结论 :胎儿电子监护对诊断胎儿窘迫具有较高的临床价值 ,新生儿窒息率明显下降 ,不增加剖宫产率。
The:To study role of electronic fetal monitoring in fetal distress prognosis. Methods:A total of 1196 patients with ≥37 weeks of gestation assigned as monitoring group were performed electronic fetal monitoring before labor and during labor from May 2000 to Apr. 2001. Among them 600 patients were performed NST and 612 ones were done OCT or CST. A total of 1188 patients with same gestational age assigned as control group, were monitored by using intermittent ausculatation during labor from May 1999 to Apr. 2000. The rate of fetal distress, neonatal asphyxia and cesarean section in the 2 groups were compared. results:Patients in the monitoring gruop had a higher fetal distress rate (13.1%) than that of the control group (9.6%,P<0.05), but a significantly lower neonatal rate (2.5%) than that of the control groups (4.9%, P<0.01), there were no significant differences in the overall cesarean rate between the two group (P>0.2), The rates of fetal distress, neonatal asphyxia and cesarean section in the nonreactive group of NST and the positive group of OCT or CST sere higher than those of the reactive group of NST and negative group of OCT or CST. Conclusion:Electronic fetal monitoring has the higher clinical value to diagnosis fetal distress. It could find the fetal distress in time and decrease the neonatal asphyxia rate but did not increase the cesarean section rate.
出处
《中国优生与遗传杂志》
2002年第1期74-75,共2页
Chinese Journal of Birth Health & Heredity
