胎心监护预测胎儿宫内窘迫  

To evaluate the result of fetal monitoring in predicting fetal distress

作　　者：乔丽雅[1] 袁友琴 吕秋兰[1] 王若蔚[1] 刘怀霞[1] 张宏珍[1] 

机构地区：[1]解放军总医院第309临床部妇产科,北京100091 [2]四川省珙县人民医院,644500

出　　处：《中国优生与遗传杂志》2005年第8期69-70,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨胎心监护对胎儿宫内窘迫的预测价值。方法应用胎心监护仪对658例临产前和(或)临产后的孕妇进行胎心监护。结果NST(无负荷试验)有反应型(401例),发生胎儿窘迫2.49%,NST无反应型(28例),发生胎儿窘迫46.67%,P<0.01),有显著性差异。CST(宫缩刺激试验)阴性(171例),发生胎儿窘迫11.69%,CST阳性(23例),发生胎儿窘迫88.46%,(P<0.01),有明显的差异。结论NST和CST分别是产前和产时胎心监护的有效方法,可以作为预测胎儿宫内窘迫的筛选试验,其准确性、敏感性、阴性预测值、阳性预测值分别为91.11%、73.68%、97.51%、46.67%和88.32%、53.49%、88.31%、88.46%。Objective ：The aim of our study was to evaluate the result of fetal monitoring in predicting fetal distress. Methods：Fetal monitoring was examines in 658 cases pregnant women in antepartum and （or） intrapartum by cardiotocography instrument. Results：Fetal distress rate was 2.49% in 401 cases of NSE（ non - stress test） reactive type ,it was 46.76% in 28 cases of NST nonreactive type, P 〈 0.01 ,there were very obvious differences between two groups. Fetal distress rate was 11.69% in 171 cases of CST （Contraction stresstest）positive, it＇was 88. 46% in 23 cases of CST Speckqcity, P 〈 0.01, there were obvious differences between two groups. Conclusion： NST and CST are effective method that they are performed in antepartum and intrapartum fetal monitoring reapectively, the technique of cardiotocography can be used as a screen test to predict the fetal distress, the accuraey, sensitivity, positive predictive value, negative predictive value were 91.11% ,73.68 %, 97,51 % ,46.67 % and 88.32% ,53.49% ,88.31 % ,88.46% respectively.

关 键 词：胎儿电子监护: 胎儿宫内窘迫 

分 类 号：R714.5[医药卫生—妇产科学]