胎心电子监护联合脐血流S/D值在预测胎儿窘迫中的临床意义  

The clinical value of electronic fetal heart rate monitoring and umbilical blood flow S/D in predicting fetal distress

作　　者：周建斌[1] 李婷[1] 何银花[1] 

机构地区：[1]南华大学附属第二医院妇产科,湖南衡阳421001

出　　处：《中国现代医生》2013年第12期154-155,共2页China Modern Doctor

基　　金：南华大学高等教育改革与研究立项(07Z24)

摘　　要：目的分析胎心电子监护联合脐血流S/D值在预测胎儿窘迫中的临床意义。方法选取我院妇产科收治的120例足月分娩孕妇,依据预测值的不同分为高危组(44例)、脐血流组(32例)和胎监异常组(44例)三组。破膜后记录羊水性状,并统计新生儿出生后的1min Apgar评分。结果与脐血流组和胎监异常组相比,高危组具有较高的羊水Ⅲ粪染、新生儿窒息率,差异具有统计学意义(P<0.05),但是脐血流组和胎监异常组的差异不具有统计学意义(P>0.05)。结论胎心电子监护联合脐血流S/D值在预测胎儿窘迫中具有良好的诊断价值,值得临床推广。Objective To analyze the clinical value of electronic fetal heart rate monitoring and umbilical blood flow S/ D in predicting fetal distress. Methods A total of 120 cases of term delivery pregnant women who had fetal distress operation indication and had been admitted to the gynaecology department in our hospital were selected, they were di- vided into three groups, the high risk group （n = 44）, umbilical blood flow group （n = 32） and fetal monitoring abnor- mal group （n = 44 ） based on the different predictive value. After rupture of membranes, recorded the characteristics of the amniotic fluid, and stated the the 1 min Apgar score of the new birth. Results Compared to the umbilical blood flow group and fetal monitoring abnormal group, the high risk group patients＇ meconium-stained amniotic fluid, neonatal asphyxia rate were higher, the difference was statistically significant （P 〈 0.05 ）, but the difference between umbilical blood flow group and fetal monitoring abnormal group had not statistically significant （P 〉 0.05）. Con- clusion Electronic fetal heart rate monitoring and umbilical blood flow S/D value has good diagnostic value in predict- ing fetal distress, it deserves to be widely promoted in the clinical.

关 键 词：胎心电子监护联合脐血流S D值 预测 胎儿窘迫 临床意义 

分 类 号：R714.5[医药卫生—妇产科学]