胎心监护对孕妇的妊娠结局预测效能研究  

Study on the Predictive Efficacy of Fetal Heart Monitoring for Pregnancy Outcomes in Pregnant Women

作　　者：沈青燕 林婕华 叶文婷 罗春绸 SHEN Qingyan;LIN Jiehua;YE Wenting;LUO Chunchou(Department of Obstetrics,Zhangzhou Affiliated Hospital of Fujian medical University,Zhangzhou 363000,China;Department of Nursing,Zhangzhou Affiliated Hospital of Fujian medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院产科,漳州363000 [2]福建医科大学附属漳州市医院护理部,漳州363000

出　　处：《中国医药指南》2024年第35期74-76,共3页Guide of China Medicine

摘　　要：目的探讨胎心监护在孕妇妊娠晚期中的应用及对妊娠结局的预测效能。方法选取2023年11月至2024年4月在福建医科大学附属漳州市医院产科分娩的308例单胎头位孕晚期孕妇作为研究对象,均在入院后接受胎心监护。根据胎心监护的结果分为对照组(102例)和观察组(206例),对比分析两组孕妇的基本情况,并掌握不同反应孕妇的妊娠合并症、分娩方式、新生儿结局。结果通过监护,对照组的羊水过少、脐带绕颈等发生率高于观察组(P<0.05)。对照组的自然分娩率为77.45%,低于观察组的90.78%(P<0.05)。对照组的胎儿窘迫、新生儿窒息的发生率均高于观察组(P<0.05)。结论在孕妇妊娠晚期进行胎心监护,对妊娠结局有着良好预测效果,可尽早发现胎儿异常反应,减少不良妊娠结局发生,有着重要临床意义。Objective To explore the application of fetal heart rate monitoring in late pregnancy and its predictive efficacy for pregnancy outcomes.Methods A total of 308 late stage(singleton head position)pregnant women who gave birth in our obstetrics department from November 2023 to April 2024 were selected as the study subjects,and all received fetal heart rate monitoring after admission.According to the results of fetal heart rate monitoring,the pregnant women were divided into control group(102 cases)and observation group(206 cases).The basic situation of the two groups of pregnant women was compared and analyzed,and the pregnancy complications,delivery methods,and neonatal outcomes of pregnant women with different reactions were mastered.Results Through monitoring,the incidence of oligohydramnios and umbilical cord around neck in abnormal response group was higher than that in normal response group(P<0.05).The natural delivery rate of abnormal response group was 77.45%,which was lower than that of normal response group(90.78%)(P<0.05).The incidence of fetal distress and neonatal asphyxia in abnormal response group was higher than that in normal response group(P<0.05).Conclusions Fetal heart monitoring in late pregnancy has a good predictive effect on pregnancy outcomes,can detect fetal abnormal reactions as early as possible,reduce the occurrence of adverse pregnancy outcomes,and has important clinical significance.

关 键 词：胎心监护 孕晚期 妊娠结局 预测 

分 类 号：R714.4[医药卫生—妇产科学]