持续电子胎心监护在分娩过程中的应用价值探讨  

Investigation on the application value of continuous electronic fetal heart monitoring in the process of delivery

作　　者：张艳红[1] 高缨[1] 朱芳[1] 

机构地区：[1]杭州师范大学附属医院妇产科,浙江杭州310000

出　　处：《中国现代医生》2015年第32期55-57,共3页China Modern Doctor

基　　金：浙江省医药卫生科学研究基金项目(320-31)

摘　　要：目的探讨持续电子胎心监护在分娩过程中的应用价值。方法选取2014年1-12月在我院分娩的单胎妊娠产妇250例作为研究对象,按照数字列表法随机分为观察组和对照组,各125例,对照组采用常规方法观察产程,观察组则仅采用持续电子监护观察产程,比较两组临床结果,其中包括剖宫产率、漏诊率、新生儿窒息率及胎儿窘迫率,以及两组新生儿5 min阿氏评分情况。结果①观察组剖宫产率为34.40%,明显高于对照组的18.40%,两组比较差异有统计学意义（χ^2=26.172,P〈0.05）;观察组漏诊率为0,明显低于对照组的5.60%,两组比较差异有统计学意义（χ^2=28.529,P〈0.05）;观察组新生儿窒息率为2.40%,明显低于对照组的14.40%,差异有统计学意义（χ^2=27.436,P〈0.05）;观察组胎儿窘迫率为6.40%,明显低于对照组的19.20%,两组比较差异有统计学意义（χ^2=26.942,P〈0.05）;②观察组新生儿平均5 min阿氏评分为（6.21±1.05）分,明显高于对照组（5.47±0.89）分,两组比较差异有统计学意义（t=5.037,P〈0.05）。结论产妇分娩过程中进行持续电子胎心监护能够准确判断子宫内情况,及时发现异常,显著降低新生儿窒息率及胎儿窘迫率,提高母婴安全性,值得临床应用推广。Objective To investigate the application value of continuous electronic fetal heart monitoring in the process of delivery.Methods 250 cases of singleton maternal pregnancies who had delivered in our hospital from January 2014 to December 2014 were chosen as research subjects,according to random number table,and they were randomly divided into the observation group and the control group,with 125 cases in each group.Parturient process of cases in the control group was observed by a conventional method,and that in the observation group was observed only by a continuous electronic monitoring.The clinical outcomes of the two groups were compared,including cesarean section rate,the rate of misdiagnosis,neonatal asphyxia rate and fetal distress rate,as well as 5 min Apgar score of newborns in the two groups.Results ①Cesarean section rate in the observation group was 34.40%,significantly higher than 18.40%in the control group,and the difference was statistically significant（χ^2=6.172,P〈0.05）.The rale of misdiagnosis in the observation group was 0,significantly lower than 5.60%in the control group,and the difference was statistically significant（χ^2=8.529.P〈0.05）.The neonatal asphyxia rate in the observation group was 2.40%,significantly lower than 14.40%in the control group,and the difference was statistically significant（χ^2=7.436,P〈0.05）.The fetal distress rate in the observation group was 6.40%,significantly lower than 19.20%in the control group,and the difference was statistically significant（χ^2=6.942,P〈0.05）.②The average 5 min Apgar score of newborn in the observation group was（6.21±1.05） points,significantly higher than（5.47±0.89） points in the control group,and the difference was statistically significanl（t=5.037.P〈0.05）.Conclusion The continuous electronic fetal heart monitoring in the process of delivery can accurately judge the situation in the womb,detect anomalies,significantly reduce neonatal asphyxia rate and fetal distress rate and improve maternal and child

关 键 词：分娩 胎心监护 产程观察 剖宫产 

分 类 号：R714.5[医药卫生—妇产科学]