临产后胎心监护异常经阴道分娩的安全性  

作　　者：许广慧[1] 

机构地区：[1]河南宏力医院妇产科,河南453400

出　　处：《当代医学》2014年第36期69-70,共2页Contemporary Medicine

摘　　要：目的探讨临产后胎心监护异常经阴道分娩的安全性,以降低胎心监护异常为指征的剖宫产率。方法选取472例胎心监护异常的患者,分为2组：经阴道试产组（n=226）,直接剖宫产组（n=246）,比较2组孕妇试产成功率及围生儿情况。结果经阴道分娩组（自然分娩＋产钳助产）与剖宫产组（直接＋中转剖宫产）新生儿窒息、羊水过少、脐带异常的比较差异均无统计学意义（χ^2新生儿窒息=0.48,χ^2羊水过少=0.81,χ^2脐带异常=2.26）;2组比较羊水Ⅱ°-Ⅲ°污染,直接剖宫产组显著多于阴道试产组,差异有统计学意义（χ^2=85.68,P〈0.01）。结论胎心监护异常伴羊水清-Ⅰ°污染、羊水过少、脐带异常等在严密监护下经阴道分娩是安全的。Objective To investigate the abnormal fetal heart rate monitoring in labor after vaginal delivery of security to reduce abnormal fetal heart rate monitoring for indications of cesarean section rate. Methods 472 cases of fetal heart rate abnormalities were divided into two groups： vaginal trial production group （n=226）, direct cesarean group （n=246）, comparing two groups of pregnant women successful trial production rate and perinatal children situation. Results Vaginal delivery group （natural childbirth ＋ forceps） and cesarean section group （direct ＋ transit cesarean） neonatal asphyxia, oligohydramnios, umbilical cord abnormalities difference was not statistically significantO（2asphyxia= 0.48, x^2 2oligohydramnios=0.81,x^2umbilical cord abnonmalities=2.26）; tWO groups of amniotic fluid Ⅱ°-Ⅲ° pollution directly cesarean group was significantly higher than vaginal trial production group, the difference was statistically significant （3（a= 85.68, P〈0.01）. Conclusion The abnormal fetal heart rate monitoring with clear amniotic fluid -Ⅰ° pollution, oligohydramnios, umbilical cord abnormalities in intensive care after vaginal birth is safe.

关 键 词：胎心监护 羊水 阴道试产 安全 

分 类 号：R714.3[医药卫生—妇产科学]