产前胎心监护对新生儿预后及窒息率的影响  

The effect of prenatal fetal heart monitoring on neonatal prognosis and asphyxia rate

作　　者：金丽[1] 刘亚茹 Jin Li;Liu Yaru(Tengzhou Central People's Hospital,Shandong Tengzhou 277500)

机构地区：[1]滕州市中心人民医院,山东滕州277500

出　　处：《中国社区医师》2021年第28期98-99,共2页Chinese Community Doctors

摘　　要：目的:探究产前胎心监护对新生儿预后及窒息率的影响。方法:选取2019年1月-2020年10月待产孕妇10000例,在孕34周开始实施无应激试验检查(NST),根据监护结果判断是否有反应;将有反应的孕妇作为研究组,无反应的孕妇作为对照组。比较两组新生儿结局。结果:研究组新生儿窒息率、肺炎发生率、羊水污染率及其他病症发生率均低于对照组,正常率高于对照组,差异有统计学意义(P<0.05);研究组新生儿Apgar评分0~3分及4~7分的比例均低于对照组,8~10分的比例高于对照组,差异有统计学意义(P<0.05)。结论:在孕34周开始进行产前胎心监护,可及时发现胎儿异常情况,及早采取应对措施,使新生儿预后得到改善,减少窒息现象的发生。Objective:To explore the effect of prenatal fetal heart rate monitoring on neonatal prognosis and asphyxia rate.Methods:From January 2019 to October 2020,10000 pregnant women expecting to give birth were selected,and started a non-stress test(NST)at the 34th week of gestation,and judged whether there was a response according to the monitoring results.The pregnant women who have responded were regarded as the research group,unresponsive pregnant women were served as the control group.The neonatal outcomes of the two groups were compared.Results:The rate of neonatal asphyxia,pneumonia,amniotic fluid pollution and other diseases in the study group were lower than those in the control group,and the normal rate was higher than that in the control group,the difference was statistically significant(P<0.05).The proportion of newborns with Apgar scores of 0 to 3 and 4 to 7 in the study group was lower than that of the control group,and the proportion of 8 to 10 was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Prenatal fetal heart monitoring at 34 weeks of gestation can detect abnormalities in the fetus in time,provide convenience for doctors to respond early,improve the neonatal prognosis,and reduce the occurrence of asphyxia.

关 键 词：产前胎心监护 新生儿预后 窒息率 

分 类 号：R714.5[医药卫生—妇产科学]