1316例胎心入室试验联合人工破膜预测分娩及胎儿结局的分析  

Analysis of 1316 Cases of fetal heart admission test in combination with artificial rupture of membrane in delivery predicting and fetal outcome

作　　者：陈殿红[1] 陈秀俊[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院

出　　处：《护理研究（上旬版）》2010年第2期306-309,共4页Chinese Nursing Researsh

基　　金：聊城卫生局立项;聊城市科技局鉴定成果;成果编号:2009-50号

摘　　要：[目的]探讨胎心入室试验(AT)联合人工破膜对预测胎儿宫内窘迫的价值。[方法]将2007年6月—2008年6月入我院后24h内分娩的1316例孕妇根据胎心入室试验分为低风险组和高危组,分析其胎心入室试验、分娩结局、羊水污染及新生儿Apgar评分。[结果]AT示1030例为反应型(78.27%),144例为可疑型(10.94%),142例为危险型(10.79%);新生儿窒息率为6.53%,其中反应型窒息率为1.94%,危险型为33.80%;羊水污染率反应型为30.67%,危险型为67.61%。高危孕妇可疑型、危险型的羊水污染率及新生儿窒息率均高于低风险孕妇。[结论]AT反应型可预测在以后的4h～5h内胎儿在宫内是安全的,胎心入室试验联合人工破膜可预测胎儿预后。Objective：To probe into the value of admission test （AT） of fetal heart rate in combination with artificial rupture of membrane in predicting the fetal distress. Methods：A total of 1 316 pregnant women admitted in our hospital from June 2007 to June 2008 and delivered within 24 hours after admission were selected and divided into low- risk group and high- risk group based on their admission test. And AT of fetal heart rate, birth outcomes, amniotic fluids pollution,and neonatal Apgar scorings of all cases had been analyzed. Results：AT showed that 1 030 cases were the reaction type（78. 27%）,144 cases were suspicious type（10. 94%）, and 142 cases were risk type（10. 79%）. The total neonatal asphyxia rate was 6.53%. Among which,the reaction type of asphyxia rate was 1.94% ,risk type was 33.80%. The rate of amniotic fluids pollution among reaction type was 30.67%, risk type was 67.61%. The amniotic fluids pollution rate of high - risk pregnant women either suspicious type or risk type and neonatal asphyxia rate of high - risk pregnant women were all higher than that of low - risk pregnant women. Conclusions ： AT reaction type predicting fetal distress within the next 4-5 hours is safe. And admission test of fetal heart rate in combination with artificial rupture of membrane can predict fetal prognosis.

关 键 词：入室试验 胎心监测 胎儿窘迫 人工破膜 

分 类 号：R473.71[医药卫生—护理学]