摘要
目的探讨第一二产程连续电子胎心监护对低危妊娠结局的影响。方法将我院2009年1～12月分娩的低危孕妇687例随机分为实验组352例(第一二产程连续胎心监护)和对照组335例(多普勒测胎心),分析比较两组的剖宫产率、阴道手术率、胎儿宫内窘迫和新生儿窒息情况。结果实验组剖宫产率和阴道手术率均略高于对照组,但无统计学差异(P>0.05);实验组胎儿窘迫检出率明显高于对照组,新生儿窒息率明显低于对照组,两组差异均有统计学意义(P<0.05)。结论第一二产程中连续胎心监护虽然轻度提高了剖宫产率和阴道手术率,但能更早、更准确地判断胎儿宫内缺氧,指导临床及时处理,降低了新生儿窒息率,从而提高了新生儿出生质量。
Objective To investigate the effect of continuous electronic fetal monitoring （EFM） on low-risk pregnancy outcome during the first two stages of labor. Methods We divided 687 women with low-risk pregnancy in our hospital from Jan. 2009 to Dec. 2009 randomly into the experimental group （352 cases, continuous EFM in the first two stages of labor） and control group （335 cases, Doppler monitoring fetal heart rate）. The cesarean section rate, vaginal surgery rate, fetal distress and neonatal asphyxia rate were compared between the two groups. Results The cesarean section rate and vaginal surgery rate of the experimental group were slightly higher than those of the control group, with no significant difference （P〉0.05）, and the experimental group had a higher detection rate of fetal distress and a lower rate of neonatal asphyxia compared with the control group, with a significant difference （P〈0.05）. Conclusion Compared with Doppler monitoring fetal heart rate, continuous EFM during the first two stages of labor may slightly increase the cesarean section rate and vaginal surgery, rate, but earlier fetal distress can be diagnosed and managed to reduce the rate of neonatal asphyxia and the quality of newborns will be increased.
出处
《中国现代医生》
2010年第20期33-34,36,共3页
China Modern Doctor
关键词
连续电子胎心监护
第一二产程
低危妊娠
围生儿结局
Continuous electron,c fetal monitoring
The fist two stages of labor
Low-risk pregnancy
Perinatal outcome
