电子胎心监护对胎儿不良妊娠结局的预测价值  

Predictive value of electronic fetal heart rate monitoring on adverse pregnancy outcome

作　　者：邓小凤[1] 

机构地区：[1]深圳市第三人民医院妇产科门诊,518112

出　　处：《中国实用医药》2014年第2期27-28,共2页China Practical Medicine

摘　　要：目的探讨电子胎心监护对不良妊娠结局的预测价值。方法选择本院产科待分娩的产妇1642例进行胎心监护,观察产妇胎心监护图形,并对妊娠结局进行统计,分析胎心监护结果与不良妊娠结局的相关关系。结果监测结果显示,不良妊娠结局发生率为22.4%,胎儿心电监护图形异常发生率为20.8%,胎心监护图形异常产妇不良妊娠结局发生率为86.2%,胎心监护图形正常产妇不良妊娠结局发生率为5.6%,胎心监护图形异常产妇不良妊娠结局发生率高于胎心监护图形正常产妇(P<0.05)。相关性分析结果显示,胎心监护曲线异常同不良妊娠结局存在正相关关系(r=4.014,P<0.05)。结论电子胎心监护能够间接反应晚期妊娠胎儿生长发育情况,对不良妊娠结局具有一定的预测价值。Objective To investige the predictive value of electronic fetal heart rate monitoring on ad-verse pregnancy outcome .Methods 1642 cases of expectant mother were selected in maternity department of our hospital and taken electronic fetal heart rate monitoring ,and pattern of fetal heart monitoring were observed , adverse pregnancy outcome were statisticed , correlation of adverse pregnancy outcome with comout of fetal heart monitoring were analyzed .Results Outcome of monitoring showed that incidence rate of adverse pregnancy out -come was 22.4%, incidence rate of fetal heart rate monitoring pattern was 20.8%, incidence rate of adverse pregnancy outcome was 86.2%in expectant mother with abnormal pattern of fetal heart rate monitoring and was 5.6%in pectant mother with normal pattern of fetal heart rate monitoring , incidence rate of adverse pregnancy outcome was higher in expectant mother with abnormal pattern of fetal heart rate monitoring than with normal pattern of fetal heart rate monitoring , correlation analysis shown there was a positive correlation between adverse pregnancy outcome and abnormal pattern of fetal heart rate monitoring .Conclusion Electronic fetal heart rate monitoring can indirectly reponse condition of fetus in late trimester of pregnancy ,and has predictive value for adverse pregnancy outcome .

关 键 词：电子胎心监护 不良妊娠结局 晚期妊娠 

分 类 号：R714.5[医药卫生—妇产科学]