产时胎儿电子监护图与新生儿结局的关系  

Relationship between intrapartum fetal electronic monitoring graph and neonatal outcome

作　　者：韦红卫[1] 夏红卫[1] 龙俊青[1] 莫云[1] 

机构地区：[1]广西壮族自治区妇幼保健院妇产科,广西南宁530003

出　　处：《中国妇幼保健》2011年第22期3406-3408,共3页Maternal and Child Health Care of China

基　　金：广西壮族自治区卫生厅自筹经费科研课题〔Z2010108〕

摘　　要：目的:探讨产程中胎儿电子监护病理图形与新生儿窒息的关系,评估其应用价值。方法:选择足月妊娠临产、单胎、头位、能观察到全部产程、产时胎儿监护图形资料完整、最终经阴道自然分娩的109例产妇的产时胎儿电子监护资料为研究对象,其中新生儿出生1 min Apgar评分≤7分的54例为新生儿窒息组(研究组),出生1 min Apgar评分≥8分的55例为正常新生儿组(对照组),回顾性分析两组产时胎儿监护图形全程资料,比较两组各种病理图形的发生情况。结果:新生儿窒息组出现病理图形52例,占96.30%,正常新生儿组出现病理图形34例,占61.82%;两组最多见的病理图形是早发减速、晚期减速和心动过缓;两组各种图形的发生率有显著差异(χ2=46.082,P=0.000)。其中早发减速及心动过缓新生儿窒息组显著低于正常新生儿组,晚期减速和混合图形新生儿窒息组显著高于正常新生儿组。结论:产时胎儿电子监护病理图形与新生儿窒息密切相关,应该加强对产科人员培训,提高其对图形的识别能力、统一评价标准及处理方法,科学应用胎儿电子监护。Objective：To explore the relationship between intrapartum fetal electronic monitoring pathological graph and neonatal asphyxia,assess the application value.Methods：The intrapartum fetal electronic monitoring data of 109 lying-in women（full-term,single pregnancy,cephalic presentation,the whole stage of labor could be observed,integrated intrapartum fetal electronic monitoring data,vaginal spontaneous labor） were selected as study objects,54 fetuses with neonatal 1 minute Apgar score≤7 were selected as neonatal asphyxia group（study group）,while 55 fetuses with neonatal 1 minute Apgar score≥8 were selected as normal neonate group（control group）,the whole intrapartum fetal electronic monitoring data in the two groups were analyzed retrospectively,the incidences of various pathological images were compared between the two groups.Results：In neonatal asphyxia group,52 cases were found with pathological images,accounting for 96.30%;in normal neonate group,34 cases were found with pathological images,accounting for 61.82%.In the two groups,the most common pathological images included early deceleration,late deceleration and bradycardia;there was significant difference in the incidence of various pathological images between the two groups（χ2=46.082,P=0.000）.The incidences of early deceleration and bradycardia in neonatal asphyxia group were significantly lower than those in normal neonate group,while the incidences of late deceleration and mixture graphs in neonatal asphyxia group were significantly higher than those in normal neonate group.Conclusion：The intrapartum fetal electronic monitoring pathological graph is related to neonatal asphyxia closely;the training of obstetric staffs should be strengthened,the identification ability for graph should be improved,the evaluation standard and processing method should be unified,and fetal electronic monitoring should be applied scientifically.

关 键 词：阴道自然分娩 新生儿窒息 胎儿电子监护 胎心率 宫缩图 

分 类 号：R714[医药卫生—妇产科学]