产前无应激胎心监护联合产时电子胎心监护的临床效果分析  

Clinical analysis of prenatal stressless fetal heart monitor combined with electronic fetal heart monitor

作　　者：戚田进 孙彦玲 QI Tian-jin;SUN Yan-ling(Department of Gynecology and Obstetrics,Chuzhou First People's Hospital,Chuzhou Anhui 239000;Department of Gynecology and Obstetrics,Wuxi Huishan People's Hospital,Wuxi Jiangsu 214187,P.R.China)

机构地区：[1]滁州市第一人民医院妇产科,安徽滁州239000 [2]无锡市惠山区人民医院妇产科,江苏无锡214187

出　　处：《中国计划生育和妇产科》2019年第1期73-76,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：无锡市卫计委妇幼健康适宜技术推广项目(项目编号:FYTG201605)

摘　　要：目的探究产前无应激胎心监护联合产时电子胎心监护的临床效果。方法将滁州市第一人民医院2016年9月至2017年3月符合纳入要求的120例足月妊娠产妇作为研究对象,予以产前无应激胎心监护、产时电子胎心监护单独检查以及联合检查,分别计算各项检查的灵敏度和特异度,并比较两种监护方法所示结果胎儿及新生儿的预后转归。结果产时电子胎心监护在诊断胎儿宫内窘迫的灵敏度和特异度较产前无应激胎心监护高,两者联合诊断的灵敏度和特异度较单一检查高,宫内窘迫组羊水Ⅱ～Ⅲ度粪染、宫内窘迫和新生儿窒息发生率均高于胎儿正常组,差异有统计学意义(P <0. 05)。结论产前无应激胎心监护联合产时电子胎心监护,能提高对胎儿宫内窘迫的诊断率,诊断灵敏度和特异度均较高。Objective To investigate the clinical effect of prenatal stressless fetal heart monitoring combined with electronic fetal heart monitoring. Methods A total of 120 full-term pregnant women who met the inclusion criteria in Chuzhou First People's Hospital were enrolled in the study from September 2016 to March 2017. The prenatal non-stressed fetal heart monitoring,the electronic fetal heart monitoring and the joint examination were given. And then calculated the sensitivity and specificity,compared the prognosis of two groups of fetuses and newborns. Results The sensitivity and specificity of electronic fetal heart monitoring in the diagnosis of fetal distress were higher than that of prenatal stressless fetal heart monitoring. The sensitivity and specificity of the combined diagnosis were higher than those of the single examination. The incidence of amniotic fluid II-III meconium staining,intrauterine distress and neonatal asphyxia in the intrauterine distress group was higher than that in the normal fetus group( P < 0. 05). Conclusion Prenatal stressless fetal heart monitoring combined with electronic fetal heart monitoring can improve the diagnostic rate of fetal distress,with high sensitivity and specificity.

关 键 词：产前无应激胎心监护 产时电子胎心监护 胎儿窘迫 

分 类 号：R715.7[医药卫生—妇产科学]