胎心监护联合脐血流检测预测胎儿宫内窘迫的临床价值  

Clinical Value of Fetal Heart Rate Monitoring Combined with Umbilical Blood Flow Detection in Predicting Fetal Distress

作　　者：李君 马倩倩 巩雯雯 LI Jun;MA Qian-qian;GONG Wen-wen(Fetal Heart Care Unit,Jinan Second Maternal and Child Health Hospital,Jinan,Shandong Province,271100 China)

机构地区：[1]济南市第二妇幼保健院胎心监护室

出　　处：《系统医学》2019年第12期16-19,共4页Systems Medicine

摘　　要：目的对于胎心监护和脐血流联合应用在检测早期胎儿宫内窘迫方面的临床效果进行探讨研究。方法在2017年6月—2018年5月期间,从该院妇产科中选取120名单胎孕妇作为研究对象,将其随机分为两组。一组为联合检查组,该为实验组;而另一组为单一检查组,该为对照组。对对照组的孕妇采用常规的胎心监护技术进行检测;对实验组的孕妇采用胎心监护和脐血流综合方法进行监测;然后对这两组孕妇的胎儿的胎心和脐血流的监测结果进行对比分析。结果实验组的胎儿宫内窘迫检测率为16.6%(10/60),对照组胎儿宫内窘迫检测率为5.0%(3/60),差异有统计学意义(χ^2=11.392,P<0.05)。实验组孕妇胎儿的的胎心监护和脐血流的异常检测率均高于对照组,差异有统计学意义(P<0.05)。结论对孕妇使用胎心监护与脐血流联合检测,可以有效提高预测胎儿宫内窘迫的正确率,及时发现孕妇宫内胎儿窘迫情况,改变妊娠结局,临床意义重大。Objective To investigate the clinical effect of fetal heart rate monitoring combined with umbilical cord blood flow in detecting early intrauterine fetal distress.Methods From June 2017 to May 2018,120 pregnant women were randomly divided into two groups.One group was the joint examination group(experimental group),while the other group was the single examination group(control group).The control group was monitored by routine fetal heart rate monitoring technology;while the experimental group was monitored by fetal heart rate monitoring and umbilical blood flow comprehensive method.And the monitoring results of fetal heart rate and umbilical blood flow of the two groups of pregnant women were compared and analyzed.Results The detection rate of fetal distress was 16.6%(10/60)in the experimental group and 5.0%(3/60)in the control group,and the difference was statistically significant(χ2=11.392,P<0.05).The abnormal detection rate of fetal heart rate monitoring and umbilical blood flow in the experimental group was higher than that in the control group(P<0.05),and the difference was statistically significant.Conclusion The combined detection of fetal heart rate monitoring and umbilical cord blood flow for pregnant women can effectively improve the accuracy of predicting fetal distress and timely detection of fetal distress in pregnant women,and change pregnancy outcomes,which is of great clinical significance.

关 键 词：胎心监护 脐血流监测 联合应用 胎儿宫内窘迫 

分 类 号：R59[医药卫生—内科学]