多指标监测在指导分娩中的临床观察  

Clinical observation of multi-index monitoring in guiding delivery

作　　者：杨晓[1] 宋鹤兰[2] 张云群[1] 谢洪[1] 王翠荣[1] 孟延兵[1] 吴晓翔[1] 李筠[2] 

机构地区：[1]广州医学院港湾医院妇产科,广东广州510700 [2]广东药学院附属第一医院妇产科,广东广州510080

出　　处：《现代医药卫生》2010年第7期971-973,共3页Journal of Modern Medicine & Health

基　　金：广州市黄埔区科技局资助项目(20060637)

摘　　要：目的:探讨B超和胎心监护等多指标监测在指导分娩中的应用价值及对降低剖宫产率的有效措施。方法:将两家医院313例,孕38周后分娩的孕妇分为多指标组及常规组,分别进行胎心监护、腹部或阴道超声检查,测量各项指标后做对照分析。结果:两家医院多指标组的剖宫产率分别为48.10%和39.29%,常规组的剖宫产率为65.75%和63.64%,差异均无显著性;但从两家医院多指标组和常规组的剖宫产率比较来看,"港医"差异有显著(P<0.05),而"广药"差异有极显著(P<0.01)。结论:采用多指标监测方法,对于指导产前诊断,选择正确的分娩方式,降低剖宫产率有一定的作用。Objective：To investigate the applicability of multi- index monitoring including B-ultrasound and fetal monitoring in childbirth and the effective measures to reduce cesarean section rate.Methods：We divided 313 women who gave birth after 38 weeks of pregnancy in two hospitals into the experimental group and comparing group respectively.Then the comparative analysis was conducted after obtaining statistics based on fetal monitoring ,abdomen or vaginal ultrasound examination.Results：The cesarean section rates of the two experimental groups were 48.10% and 39.29% respectively and those of the two comparing groups were 65.75% and 63.64% respectively in two hospital.There was no obvious difference in cesarean section rate between the two hospitals.Nonetheless,when cesarean section rate for the experimental group and the comparing group was compared, ＂Gang Yi＂had obvious difference （P〈0.05）,whereas ＂Guang Yao＂had extremely significant difference （P〈0.01）.Conclusion：Using multi-index monitoring is useful in pre-birth diagnosis and choosing the right way for childbirth ,and lowering cesarean section rate.

关 键 词：多指标监测 阴道分娩 剖宫产 

分 类 号：R71[医药卫生—妇产科学]