妊娠中晚期高危妊娠胎心率电子监护异常分析  

Clinical nursing measures of fetal heart rate electronic monitoring abnormal of middle-late high-risk pregnancy

作　　者：罗丹丹[1] 王晓梅[1] 危喜贞[1] 林芬[2] 孙蓬明[2] 

机构地区：[1]福建医科大学附属福建省妇幼保健院胎心监护室,福州350001 [2]福建医科大学附属福建省妇幼保健院妇科肿瘤研究室,福州350001

出　　处：《福建医药杂志》2017年第2期108-112,共5页Fujian Medical Journal

摘　　要：目的评价妊娠中晚期实施胎心监护的临床效果和意义。方法对福建省妇幼保健院收治的596例实施中晚期胎心监护的高危孕妇其胎心电子监护结果进行分析,并与121例外院转入未实施中晚期胎心监护的高危妊娠孕妇比较其妊娠结局。结果两组人群基本人群社会资料构成一致,中晚期妊娠胎心率从32周到36周逐渐下降趋势。胎心监护异常的高危妊娠孕妇平均胎心率低于胎心监护正常的高危孕妇(P<0.05)。实施中晚期胎心监护的高危妊娠产妇其顺娩率和阴道助产率显著高于未实施中晚期胎心监护者(P<0.05)。结论对高危妊娠产妇实施中晚期胎心监护有积极的意义,能够更好保障高危妊娠孕妇的母婴健康,值得推广。Objective To evaluate the clinical effect and meaning of middle late fetal heart rate electronic monitoring. Methods In total, 596 cases accepted middle-late fetal heart rate electronic monitoring in Fujian Maternity and Children Health Hospital were compared with 121 high risk pregnant women who didn＇t monitor fetal heart rate. The pregnancy outcome and pregnant women psychological changes between two groups were analyzed. Results The women had the same population charac- ters. The fetal heart rate was declining from pregnant 32 weeks to 36 weeks. In high-risk pregnancy, pregnant women, fetal heart rate tested by electronic monitoring showed abnormal were lower than those who showed normal （P^0.05）. The natural delivery rate and assisted vaginal delivery rate in high risk pregnancy mothers who accepted middle-late fetal heart rate electronic monitoring were significantly higher than those who have no monitoring （P^0.05）. Conclusion The high-risk pregnancy mothers accepted middle late fetal heart rate electronic monitoring are better for both of maternal and newborn health, which is worthy to be popularized.

关 键 词：中晚期 高危妊娠 胎心监护 

分 类 号：R714.2[医药卫生—妇产科学]