摘要
目的探讨临产前后胎心率监护联合胎儿脐血流监测在预测产时胎儿情况中的应用效果。方法随机选取2017年1月—2018年1月期间该院收治的80例单胎高危妊娠孕妇当作研究对象,均接受胎心率监护、胎儿脐血流监测。根据检查结果的不同进行分组,分为NST异常组、超声异常组、NST异常联合超声异常组。观察比较三组胎儿窘迫发生率、新生儿羊水污染率及新生儿窒息率。结果 NST异常组有32例,超声异常组有30例,NST异常联合超声异常组有18例;NST异常联合超声异常组的胎儿窘迫发生率55.56%,明显高于NST异常组的胎儿窘迫发生率21.86%,差异有统计学意义(χ2=8.245,P=0.011)、超声异常组的胎儿窘迫发生率23.33%,差异有统计学意义(χ2=7.952,P=0.015);NST异常联合超声异常组的新生儿羊水污染率33.33%,明显高于NST异常组的新生儿羊水污染率18.75%,差异有统计学意义(χ2=7.242,P=0.021)、超声异常组的新生儿羊水污染率16.67%,差异有统计学意义(χ2=8.135,P=0.013);NST异常联合超声异常组的新生儿窒息率11.11%,明显高于NST异常组的新生儿窒息率6.25%,差异有统计学意义(χ2=7.145,P=0.023)、超声异常组的新生儿窒息率3.33%,差异有统计学意义(χ2=7.258,P=0.021)。结论对高危妊娠产妇,临产前后胎心率监护联合胎儿脐血流监测,可以准确预测胎儿宫内情况及新生儿结局,值得推广。
Objective To investigate the application of fetal heart rate monitoring combined with fetal umbilical blood flow monitoring before and after labor in predicting fetal status. Methods 80 high-risk pregnant women with single-fetal pregnancies admitted to our hospital from January 2017 to January 2018 were randomly selected as subjects for fetal heart rate monitoring and fetal umbilical blood flow monitoring. According to the different examination results, they were divided into NST abnormal group, ultrasonic abnormal group and NST abnormal combined with ultrasound abnormal group. Observe and compare the incidence of fetal distress in three groups, neonatal amniotic fluid contamination rate and neonatal asphyxia rate. Results There were 32 cases in the NST abnormal group, 30 cases in the ultrasound abnormal group, and 18 cases in the NST abnormal combined ultrasound abnormal group. The incidence of fetal distress in the NST abnormal combined with ultrasound abnormal group was 55.56%, which was significantly higher than that in the NST abnormal group of the rate of fetal distress was 21.86%,the different was statistically significant(χ^2=8.245, P=0.011), the incidence of fetal distress in the abnormal ultrasound group was 23.33%,the different was statistically significant(χ^2=7.952, P=0.015). The neonatal amniotic fluid contamination rate of the NST abnormal combined with ultrasound abnormal group was 33.33%, which was significantly higher. Neonatal amniotic fluid contamination rate in the NST abnormal group was 18.75%,the different was statistically significant(χ^2=7.242, P=0.021), neonatal amniotic fluid contamination rate was 16.67% in the ultrasound abnormal group,the different was statistically significant(χ^2=8.135, P=0.013);NST abnormal combined with ultrasound abnormal group of neonatal asphyxia rate was 11.11%, which was significantly higher than the neonatal asphyxia rate of 6.25%(χ^2=7.145, P=0.023) and the neonatal asphyxia rate of 3.33%,the different was statistically significant,the different was statistically significant(χ^2=7.258, P=0.021). Conclusion For high-risk pregnant women, fetal heart rate monitoring before and after labor combined with fetal umbilical blood flow monitoring can accurately predict intrauterine conditions and neonatal outcomes, which is worthy of promotion.
作者
岳洋
YUE Yang(Department of Obstetrics, Shajing People's Hospital, Bao'an District, Shenzhen, Guangdong Province, 518100 China)
出处
《中外医疗》
2019年第3期60-62,共3页
China & Foreign Medical Treatment
关键词
胎心率监护
胎儿脐血流监测
临产前后
产时
胎儿情况
Fetal heart rate monitoring
Fetal umbilical blood flow monitoring
Before and after labor
Birth time
Fetal condition
