胎心监护基线静止型与胎儿宫内缺氧的关系  

The Relation between the Static Baseline of Fetal Heart Rate Monitoring and the Fetal Asphyxia

作　　者：曹旭[1] 

机构地区：[1]皖北煤电集团总医院妇产科,安徽省宿州市234000

出　　处：《中华全科医学》2011年第9期1374-1375,共2页Chinese Journal of General Practice

摘　　要：目的探讨胎心监护基线变异静止型与胎儿宫内缺氧的关系。方法随机性选择皖北煤电集团总医院2008年10月-2010年5月住院分娩的初产妇,孕周为37～41周,入室胎心监护(包括无应激试验或宫缩应激试验)基线变异为静止型的产妇63例为观察组,排除药物影响及胎儿睡眠状态,胎心监护变异为波浪形的产妇112例为对照组,回顾性分析比较两组分娩过程情况及新生儿结局。结果基线变异静止型产妇分娩过程中出现羊水Ⅱ度～Ⅲ度污染、羊水过少、新生儿中、重度窒息及围生儿死亡的病例数显然高于波浪组,采用χ2检验差异有统计学意义(P<0.05或P<0.01)。结论胎心监护基线变异静止型,常提示胎盘的储备能力下降,多合并羊水过少、羊水Ⅱ度～Ⅲ度污染、妊娠合并症或并发症,存在胎儿潜在宫内缺氧的可能,临床应给予高度重视,尽早产科干预对降低新生儿窒息及病死率有重要意义。Objective To investigate the relation between the static baseline of fetal heart rate monitoring and the fetal asphyxi- a. Methods 63 primiparas with static type of the baseline fetal heart rate monitor（ including NST or OCT） who came for delivery during 37 -41 pregnant weeks from Oct 2008 to May 2010 were chosen with randomicity as a study group, drug influence and fetal sleep were excluded, and 112 case of primiparas with wave type of the baseline fetal heart rate monitoring as a control group. The comparison between the two groups in delivery and perinatal outcome was retrospectively analyzed and performed. Results The number with χ2 test statistics of patients with meconium-stained amniotic fluid oligohydramnios severe neonatal asphyxia and perinatal mortality in study group was significantly more than that in control group （ P 〈 0.05 or P 〈 0.01 ）. Conclusion The static type of fetal heart rate baseline indicated the decline of heart fetal reserve and maybe means fetal hypoxia and was often combined with oligohydrammios or meconium stained or pregnancy complications. It was of importance to pay most attentions and deal with it early, which had important clinical significance for reducing neonatal asphyxia and mortality.

关 键 词：胎心监护 基线变异 胎儿宫内缺氧 

分 类 号：R714.56[医药卫生—妇产科学]