孕期胎心监护轻无反应型的临床意义分析  

Clinical significance of mild non-reactive NST pattern in pregnancy monitoring

作　　者：羊淑宇 张亲凤 薛艳艳[1] 

机构地区：[1]海南省三亚市妇幼保健院,海南三亚572000

出　　处：《海南医学院学报》2011年第3期386-387,389,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020110087)~~

摘　　要：目的:提高孕期胎心率监护的质量,减少假无反应型的发生率。方法:1 723例单胎分为4组,A组(直接反应型)1 428例(82.88%),B组(轻无反应型→反应型)168例(9.75%),C组(反复轻无反应型)41例(2.37%),D组(无反应型)86例(4.99%)。比较A与B组、C与D组剖宫产率及新生儿Ap-gar评分。结果:A、B组剖宫产率及新生儿Apgar评分差异均无统计学意义(P>0.05);D组剖宫产率明显高于A组(P<0.05),新生儿Apgar评分差异无统计学意义(P>0.05)。结论:将无刺激试验(NST)无反应型分为轻无反应型及无反应型后,能解决假无反应型给临床带来的困扰,进而提高胎儿监护的诊断水平,也因此减少了对孕产妇的无谓干预,有利于妇产科临床质量的提高。Objective：To improve the quality of pregnancy fetal heart rate（FHR） monitoring and reduce the incidence of false non-reactive pattern.Methods：A total of 1723 fetal were assigned into group A（1428 cases,82.88%）,group B（168 cases,9.75%）,group C（41 cases,2.37%） and group D（86 cases,4.99%） according to the FHR patterns.Group A showed direct reactive pattern,group B mild non-reactive pattern,group C repetitive mild non-reactive pattern,group D non-reactive pattern.Incidence of uterine-incision delivery and the Apgar scores were compared among these groups.Results：The differences in incidence of uterine-incision delivery and the Apgar scores were not significant between group A and B（P both 0.05）.Group D showed significant higher incidence of uterine-incision delivery（P0.05）,though Apar scores was not significant different（P0.05）.Conclusions：Further differentiation of mild non-reactive pattern from non-reactive pattern can help to improve the quality of FHR monitoring and decrease puerpera＇s exposure to over interference.

关 键 词：孕期监护 无刺激试验(NST) NST无反应型 NST轻无反应型 

分 类 号：R714.3[医药卫生—妇产科学] R715.3[医药卫生—临床医学]