入室试验在分娩室医疗管理中的应用  

Application of admission test in labor room

作　　者：张珂[1] 马冬梅[1] 姚晔丽[1] 贺晶[1] 

机构地区：[1]浙江大学医学院附属妇产科医院产科,杭州310006

出　　处：《中华围产医学杂志》2012年第10期613-615,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的探讨人室试验在分娩室医疗管理中的应用价值。方法回顾性分析2009年12月至2011年12月在浙江大学医学院附属妇产科医院分娩室进行入室试验的单胎妊娠孕妇850例的病历资料，其人室试验结果为正常图形者为正常组（658例），不确定或异常图形者为异常组（192例），采用两独立样本￡检验及χ2检验分析2组问国产结局的差异。结果2组孕妇平均年龄、分娩孕周及新生儿体重差异均无统计学意义（P均〉0．05）。人室试验结果异常组孕妇的剖宫产率为59．4％（114／192），胎膜早破的发生率为72．4％（139／192），胎儿窘迫的发生率为42．2％（81／192），新生儿窒息的发生率为16．5％（27／192），新生儿并发症的发生率为31．8％（61／192），均明显高于人室试验结果正常组，分别为34．2％（2％／6s8）、31．0％（204／658）、24．2％（159／658）、0．2％（1／658）和2．6％（17／658），羞异均有统计学意义（χ2分别为3．93、105．78、40．84、52．54和151．92，P均〈0．05）。结论人室试验是临产后了解胎儿一胎盘储备功能，评估胎儿状况的有效监护手段，在分娩室医疗管理中发挥重要作用。Objective To investigate the application of admission test as a medical management in the labor room. Methods Eight hundred and fifty singleton pregnant women underwent admission test in Iabor room at Women＇s Hospital, School of Medicine, Zhejiang University from Dec. 2009 to Dec. 2011 were enrolled into this study. They were divided into two groups： normal group （admission test was normal, n= 658） and abnormal group （admission test was abnormal or undetermined, n= 192）. Deliveries and perinatal outcomes of them were observed. The difference between the two groups were compared with two independent sample t test and Chi-square test. Results There were no significant differences in the mean age at delivery of the women and mean birth weight of neonates between the two groups （all P〉0.05）. The cesarean section rate of normal group （34.2%, 225/658） was lower than that （59.4%, 114/192） of abnormal group （χ2=3.93, P〈0.05）. The rates of premature rupture of membranes （72.4%, 139/192）, fetaIdistress （42.2%, 81/192）, neonatal asphyxia （16.5%, 27/192） and neonatal complications （31.8G, 61/192） in abnormal group were significantly higher than those [31.0%（204/658）, 24.2% （159/658）, 0.2G （1/658） and 2. 6% （17/658）] in normal group （χ2=105.78, 40.84, 52.54 and 151.92, P〈0.01 respectively）. Conclusions Admission test is a good method to forecast placental function during labor and perinatal outcomes, which might play an important role in medical management in labor room.

关 键 词：胎儿监测 妊娠结局 住院 病人医护管理 评价研究 

分 类 号：R714.7[医药卫生—妇产科学]