产时胎心监护的临床效果与护理分析  

Clinical effects of intrapartum fetal heart rate monitoring and related nursing measures

作　　者：罗红梅[1] 单秀梅[1] 

机构地区：[1]江苏省东台市妇幼保健院妇产科,江苏东台224200

出　　处：《中西医结合护理（中英文）》2016年第8期120-121,共2页Journal of Clinical Nursing in Practice

摘　　要：目的观察产时胎心监护的临床效果,总结对应护理方法。方法 42名产妇随机均分为对照组与观察组,各21例。对照组应用多普勒超声诊断仪行常规胎心率监测,观察组实施产时胎心监护并给予针对性护理措施,对比2组临床监护效果。结果对照组宫内窘迫发现率9.5%(2/21),观察组为14.2%(3/21),差异无统计学意义(P>0.05);观察组新生儿窒息发生率为4.7%(1/21),低于对照组的9.5%(2/21),但差异无统计学意义(P>0.05)。结论为分娩产妇实施产时胎心监护与护理,有利于及早的发现宫内窘迫现象,对于保证母婴安全具有重要意义。Objective To investigate the clinical effects of intrapartum fetal heart rate moni- toring and to summarize the coordinated nursing measures. Methods A total of 42 puerperae were randomly divided into the control group and the observation group, with 21 cases in each group. The control group received conventional fetal heart rate monitoring by Doppler ultrasonic diagnostic appara- tus, while the observation group was applied with intrapartum fetal heart rate monitoring and coordina- ted nursing interventions. Results There were 2 cases of fetal intrauterine distress in the control group and 3 cases in the observation, with no significant difference （ （ P 〉 0.05 ）. The incidence of as- phyxia neonatorum was 4.7% in the observation group and was 9.5% in the control group, with no significant difference （P 〉 0.05 ）. Conclusion Intrapartum fetal heart rate monitoring is an effective way of detecting fetal intrauterine distress at early stage, ensuring the safety of mother and newborns.

关 键 词：产时胎心监护 宫内窘迫 围产期护理 新生儿窒息 

分 类 号：R473.71[医药卫生—护理学]