胎心监测仪联合彩色多普勒超声检测胎儿窘迫的临床分析  

Clinical analysis of fetal heart monitor combined with color Doppler ultrasound to detect fetal distress

作　　者：宋学婷 

机构地区：[1]河北省玉田县医院妇产科,河北唐山064100

出　　处：《中国医学装备》2016年第5期110-112,共3页China Medical Equipment

摘　　要：目的:分析研究胎心监测联合脐动脉收缩期最高血流速度(S)与舒张期最低血流速度(D)的比值(S/D)预测胎儿窘迫的临床价值。方法:选择产科足月及过期妊娠的280例住院产妇进行心监测联合脐血流S/D监测,根据检查结果将其分为正常组(158例),胎心异常组(21例),S/D值异常组(33例),双异常组(68例),观察四组孕妇胎心监护及脐血流与胎儿窘迫的关系。结果:胎心监测联合脐血流S/D监测均出现异常的孕妇中,其发生羊水过少(66.2%)、脐带绕颈(35.3%)、羊水污染(79.4%)、Apgar评分<7(50.0%)及宫内胎儿窘迫(44.1%)的概率明显高于其他组,差异均具有统计学意义(x^2=8.15,x^2=13.54,x^2=66.34,x^2=11.90,x^2=8.37;P<0.05)。结论:胎心监测联合脐血流S/D监测进行预测胎儿窘迫,与单用一种诊断方法相比其效果更好,可减轻孕妇心理及经济负担。Objective：To analyze the clinical value on fetal heart monitor combined with umbilical artery S/D monitoring and forecasting fetal distress.Methods： A total of 280 cases in our hospital hospitalized were given maternal heart monitor combined with umbilical artery S/D monitoring. According to the test results, they were divided into normal group with 158 cases, abnormal fetal heart rate group with 21 cases, abnormal S/D value group with 33 cases, both abnormal group with 68 cases. The relationship among fetal heart rate, umbilical artery S/D value and fetal distress were observed.Results： The rate of little amniotic fluid（66.2%）, umbilical cord around the neck（35.3%）, amniotic contaminated 79.4%）, Apgar score〈7（50.0 %） and the probability of fetal distress（44.1%） in the fourth group were higher than the other three groups. The differences were statistically significant（x2=8.15,x2=13.54,x2=66.34,x2=11.90,x2=8.37;P〈0.05）.Conclusion： Fetal heart monitor combined with umbilical artery S/D monitoring and forecasting fetal distress has better efficiency, which can reduce maternal psychological and financial burden.

关 键 词：胎心监测 脐动脉血流检测 胎儿窘迫 

分 类 号：R714.54[医药卫生—妇产科学]