摘要
目的研究产前、产时电子胎心监护对胎儿窘迫的诊断价值。方法纳入本单位2019年1月至2019年12月1000例待产产妇作为研究样本,均于产前、产时接受胎心监护,将其中433例胎心监护异常者纳入研究组,其余567例胎心监护正常者纳入对照组,比较两组新生儿窒息、胎儿窘迫危险因素发生率及Apgar评分差异。结果研究组Apgar评分低于对照组,差异有统计学意义(P<0.05);且该组Apgar评分8~10分者占比(79.68%)低于对照组(98.94%),而4~7分(12.47%)、0~3分者占比(7.85%)高于对照组(1.06%、0.00%),差异有统计学意义(P<0.05);研究组羊水过少(15.47%)、前置胎盘(19.86%)、脐带绕颈(41.34%)、母体因素发生率(17.78%)低于对照组(1.94%、0.71%、3.53%、0.35%),差异有统计学意义(P<0.05)。结论产前、产时电子胎心监护,能够较好地检出胎儿窘迫,为临床争取治疗时机,有利于改善母婴预后结局。
Objective To analyze the diagnostic value of antepartum and intrapartum electronic fetal monitoring in fetal distress.Methods 1000 expectant mothers(2019.01-2019.12)of undergoing the antepartum and intrapartum electronic fetal monitoring were chosen as research samples.433 abnormal cases were included in the study group;567 normal cases were included in the control group.The occurrences of neonatal asphyxia and fetal distress as well as Apgar points were compared.Results Apgar points in the study group were significantly lower than control group(P<0.05);the proportion of infants with 8~10 Apgar points in the study group(79.68%)was lower than control group(98.94%);the proportion of infants with 4~7 and 0~3 Apgar points in the study group(12.47%vs.7.85%)was significantly higher than control group(1.06%vs.0.00%)(P<0.05);the occurrences of oligohydramnion,placenta previa,cord around neck and maternal risk factors in the study group(15.47%,19.86%,41.34%,17.78%)were significantly lower than control group(1.94%,0.71%,3.53%,0.35%)(P<0.05).Conclusion The antepartum and intrapartum electronic fetal monitoring can better detect the fetal distress conditions,strive for better treatment opportunity and make for the favorable maternal and infantile outcomes.
作者
胡警芳
HU Jing-fang(Department Of Obstetrics,Huidong County Maternal And Child Health Family Planning Service Center,Huizhou,Guangdong 516300)
出处
《智慧健康》
2021年第14期92-94,共3页
Smart Healthcare
关键词
电子胎心监护
产前
产时
胎儿窘迫
诊断
Electronic fetal monitoring
Antepartum
Intrapartum
Fetal distress
Diagnosis
