胎心监护在孕晚期的应用及临床作用分析  

Application and clinical effect analysis of fetal heart monitoring in late pregnancy

作　　者：黄红琴 Huang Hongqin(Department of Obstetrics and Gynecology,Danyang Maternal and Child health Hospital,Zhenjiang,Jiangsu 212300,China)

机构地区：[1]丹阳市妇幼保健院妇产科,江苏镇江212300

出　　处：《实用妇科内分泌电子杂志》2021年第21期21-23,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨胎心监护在孕晚期的应用及临床作用。方法选择200例常规产检孕妇,均进行胎心监护,根据胎心监护结果分为反应型组(179例)与无反应型组(21例),比较两组不同类型产妇分娩方式、胎儿附属物异常率以及分娩结局。结果反应型组自然分娩率高于无反应型组;剖宫产率、脐带异常、羊水量少、羊水污染发生率以及胎儿窘迫、新生儿窒息发生率均低于无反应型组,差异具有统计学意义(P<0.05);两组阴道助产率相比差异无统计学意义(P>0.05)。结论孕晚期应用胎心监护能有效识别孕妇、胎儿风险,其中胎心无反应型孕妇的剖宫产率及胎儿附属物异常发生风险均较高,容易出现不良分娩结局,故对无反应型者应该重点监护,出现问题及时处理,临床上有一定指导意义。Objective To explore the clinical effect of fetal heart monitoring in late pregnancy.Methods A total of 200pregnant women with routine obstetric examination were selected,and all of them underwent fetal heart rate monitoring.According to the results of fetal heart rate monitoring,they were divided into reactive group(179 cases)and non-responsive group(21 cases),the different types of delivery methods,abnormal rates of fetal appendages and delivery outcomes were compared between the two groups.Results The spontaneous delivery rate in the reactive group was higher than that in the non-responsive group;the rate of cesarean section,abnormal umbilical cord,low amniotic fluid volume,incidence of amniotic fluid pollution,fetal distress and neonatal asphyxia were lower than those in the non-responsive group,and the differences were statistically significant significance(P<0.05).There was no significant difference in the vaginal midwifery rate between the two groups(P>0.05).Conclusion The application of fetal heart rate monitoring in the third trimester can effectively identify the risks of pregnant women and fetuses.Among them,pregnant women with unresponsive fetal heart rate have a higher risk of cesarean section and abnormal fetal appendages,and prone to adverse delivery outcomes.Key monitoring,timely handling of problems,has certain guiding significance in clinical practice.

关 键 词：胎心监护 孕晚期 分娩结局 

分 类 号：R714.5[医药卫生—妇产科学]