产时胎心宫缩监护的评估及分级处理  

The assessment and classification processing of intrapartum cardiotocography monitoring

作　　者：胡雅毅[1] 刘兴会[1] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041

出　　处：《中国实用妇科与产科杂志》2010年第2期95-97,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：胎心宫缩监护(cardiotocography,CTG)能够在产程中评估胎心、胎动以及宫缩三者的关系,产时CTG将影响临床决策,应按照正常、非典型、异常三种类型进行分级管理。正常CTG间隔30min做一次胎儿电子监护,非典型和(或)异常CTG首先进行宫内复苏,需进行胎儿头皮血pH值检测,再根据孕周、胎儿体重、产程进展等综合判断是否终止妊娠。Intrapartum cardiotocography（CTG）is a procedure of graphically（graphy）recording fetal heart activity（cardio）and uterine contraction（toco）.It always makes an influence on obstetricians＇ clinic decisions.The new classification system for CTG uses the terms is ＂normal＂,＂atypical＂ and ＂abnormal＂.If it is normal CTG,Electric Fetal Monitoring（EFM）may be interrupted for periods up to 30 min.If it is atypical /abnormal CTG,intrauterine resuscitation should be made chiefly.Then,fetal scalp blood testing may be considered.Other obstetrical parameters,such as gestational age,fetal weight,the phase and stage of the labor,will all affect decision making.

关 键 词：产时胎心宫缩监护 宫内复苏 

分 类 号：R71[医药卫生—妇产科学]