摘要
目的：观察和评价胎心监护联合脐血流测定对诊断胎儿宫内窘迫的意义。方法选取208例单胎分娩孕妇作为研究对象，根据脐血流测定与胎心监护检查结果，将其分为A、B、C、D4个组，A组为脐血流测定、胎心监护均正常；B组为脐血流测定、胎心监护均异常；C组为脐血流测定异常而胎心监护正常；D组为脐血流正常而胎心监护异常。对研究对象产前、产时胎儿宫内窘迫发生率及胎儿预后进行观察和分析。结果4个组胎儿的1min新生儿评分（Apgar评分）均在4～10分，其中，A组中评分为8～10分的胎儿比例明显高于其他3个组，差异有统计学意义（P＜0．05），而B、C、D3个组之间的差异无统计学意义（P＞0．05）；4个组胎儿间羊水污染程度的差异无统计学意义（P＞0．05）；A组和C组之间胎心异常率的差异无统计学意义（P＞0．05），B组和D组之间胎心异常率的差异无统计学意义（P＞0．05），但B组均明显高于A组与C组，且差异有统计学意义（P＜0．05）。结论胎心监控联合脐血流检查对于诊断胎儿宫内窘迫具有较高的意义和价值，可弥补单独应用一种方法的不足，提高诊断的可靠性，值得在临床上推广使用。
Objective To evaluate the significance of fetal heart rate monitoring combined with umbilical cord blood flow determination in the diagnosis of fetal distress .Methods A total of 208 singleton pregnant women were enrolled .According to the results of fetal heart rate monitoring and umbilical cord blood flow determination ,all sub-jects were divided into group A ,with normal results of fetal heart rate monitoring and umbilical cord blood flow de-termination ,group B ,with abnormal results of fetal heart rate monitoring and umbilical cord blood flow determina-tion ,group C ,with abnormal result of umbilical cord blood flow determination and normal result of fetal heart rate monitoring ,,and group D ,with normal result of umbilical cord blood flow determination and abnormal result of fetal heart rate monitoring .The prenatal and intrapartum incidence of fetal distress and fetal prognosis were observed and analyzed .Results The 1 minute Apgar scores of the fetuses in the four groups were 4-10 score .The portion of fetu-ses with 8-10 score in group A was significantly higher than the other three groups （P〈0 .05） ,and the differences be-tween the other three groups were not significant （P〉0 .05） .There was no significant difference of amniotic fluid pollution degrees between the four groups（P〉0 .05） .The difference of abnormal fetal heart rate between group A and C was not significant（P〉0 .05） .There was no significant difference of abnormal fetal heart rate between group B and D（P〉0 .05） ,but significantly higher than group A and C（P〈0 .05） .Conclusion Combined application of fetal heart rate monitoring and umbilical cord blood flow determination might be with significance for the diagnosis of fetal distress ,which could make up for the shortage of single application ,improve the reliability of the diagnosis ,and be worthy for clinical application .
出处
《检验医学与临床》
CAS
2014年第9期1177-1178,1181,共3页
Laboratory Medicine and Clinic
基金
辽宁省盘锦市科技局资助项目(11医-CDN-SDL)
关键词
脐血流测定
胎心监护
宫内窘迫
umbilical cord blood flow determination
fetal heart rate monitoring
fetal distress
