电子胎心监护在产科麻醉中应用的研究进展  

Research progress in the application of electronic fetal heart monitoring in obstetric anesthesia

作　　者：刘迪 闵苏[1] 赵邦术[1] 秦兴发 舒秋霞[1] LIU Di;MIN Su;ZHAO Bangshu;QIN Xingfa;SHU Qiuxia(Department of Anesthesiology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,400016 [2]四川省内江市第一人民医院麻醉科 [3]重庆医科大学附属第一医院产科

出　　处：《临床麻醉学杂志》2022年第8期878-882,共5页Journal of Clinical Anesthesiology

基　　金：国家临床重点专科建设项目[财社(2011)170号];重庆市卫生适宜技术推广项目(2021jstg026)。

摘　　要：随着健康中国和产科麻醉医疗的发展,产科手术、胎儿外科、妊娠非产科手术麻醉和分娩镇痛对麻醉医疗的需求越来越高,保障母婴安全给产科麻醉医护人员提出了挑战。电子胎心监护具有快速、动态反映胎儿在子宫内的生理状况,临床上通过监测胎心率基线、胎心变异、加速、减速以及宫缩参数等,判读胎心监护图形,结合孕产妇的生命体征监测,合理地选择分娩镇痛或产科麻醉方式与临床用药,有助于指导决策胎儿紧急情况的救治措施,保障手术、麻醉和相关治疗期间的母婴安全,提高产科麻醉工作者基本的胎心监测能力,具有重要的临床意义。With the development of healthy China and obstetric anesthesia medical care,the demand for anesthesia medical care in obstetric surgery,fetal surgery,non-obstetric anesthesia in pregnancy and labor analgesia is increasingly high.Ensuring the safety of the mother and fetus has posed a challenge to obstetric anesthesia medical staff.Electronic fetal heart monitoring is a rapid and dynamic reflection of the physiological condition of the fetus in the uterus.In clinical practice,by monitoring the baseline fetal heart rate,fetal heart rate variability,acceleration,deceleration and contraction parameters,the fetal heart monitoring graph is interpreted.Also by monitoring maternal vital signs,the mode of labor analgesia or obstetric anesthesia and clinical medication are rationally selected,which is of great clinical significance to ensure the maternal and infant safety during surgery,anesthesia and related treatment,and to improve the basic ability of obstetric anesthesiologists to monitor the fetal heart rate.

关 键 词：电子胎心监护 产科麻醉 分娩镇痛 母婴安全 

分 类 号：R714.3[医药卫生—妇产科学]