摘要
目的探讨第一产程胎心监护异常图形与新生儿结局的关系,减少新生儿窒息、降低剖宫产率。方法回顾分析2007年3月～2008年3月在我院足月单胎头位分娩产妇,随机抽取480例,第一产程中胎心监护异常图形204例(观察组)和胎心监护正常图形276例(对照组)的临床资料。结果第一产程胎心监护异常图形的发生率为42.5%,常见类型为轻度变异减速(50.4%)、其次为早期减速,占21.1%,其他异常为晚期减速、心动过速、心动过缓、基线变异减弱、延长减速、重度变异减速,发生比例均在10%以下。观察组中剖宫产例数、羊水污染例数、羊水过少例数、脐带缠绕例数多于对照组,有统计学差异(P<0.05)。两组新生儿体重、发生新生儿窒息的例数无显著性差异(P>0.05)。结论第一产程异常FHR图形的发生率较高,其中晚期减速、基线变异减弱、重度变异减速与新生儿窒息的发生相关,其他图形可在严密监护下继续试产。
Objective To investigate the relationship between the abnormal graphics fetal heart rate monitoring and neonatal outcome. To reduce neonatal asphyxia and lower cesarean section rate. Methods A retrospective study from March 2007 to March 2008 in our hospital from a single full-term delivery of maternal fetal head position, randomly selected 480 cases, the first stage of labor in the fetal heart rate（FHR） is abnormal graphics 204 cases（observation group）and FHR graphics 276 cases of normal（control group）of clinical data. Results in the first stage of labor abnormal graphics incidence of FHR graphics 42.5%, common types of mild variable deceleration （50.4%）, followed by early deceleration, accounting for 21.1%, Other exceptions for late deceleration,tachycardia, bradycardia, decreased baseline variability,to extend the deceleration, severe variable deceleration occurred both in the proportion of 10%. Cesarean section in the observation group ,oligohydramnios, amniotic fluid is too small , umbilie~ cord entanglement than the control group the number of cases ,there are statistically significant（P〈O.05 ）. Two groups of birth weight, place the number of cases of neonatal asphyxia was no significant difference（P〉0.05 ）. Conclusion The relatively high incidence of abnormal graphics in first stage of labor, in which late deceleration, baseline variability less, severe variable deceleration have to do with neonatal asphyxia the occurrence of related, other graphics intensive care can continue to pilot production.
出处
《中国现代医生》
2010年第7期104-105,共2页
China Modern Doctor
关键词
胎心监测
异常图形
新生儿窒息
剖宫产率
Fetal heart rate monitoring
Abnormal graphics
Neonatal asphyxia
Cesarean section rate.
