胎心监护在产程观察中的价值.docVIP

胎心监护在产程观察中的价值 　　[摘要] 目的 回顾性分析胎心监护在产程观察中的价值。方法 随机选取在该院进行分娩的产妇共300例，选取年限均在2014年7月―2015年9月之间，将300例分娩产妇随机分成两组，每组各有150例。其中一组分娩产妇进行常规的产程观察，称为对照组；另一组分娩产妇则在对照组基础上加用胎心监护对产程进行观察，称为观察组。对两组产程观察模式下分娩产妇的剖宫产率、胎儿窘迫漏诊率、新生儿轻度窒息率以及新生儿重度窒息率进行统计对比，评价胎心监护的临床应用价值。 结果 观察组分娩产妇的剖宫产率35.33%，明显高于对照组的20%；观察组分娩产妇的胎儿窘迫漏诊率、新生儿轻度窒息率以及新生儿重度窒息率分别为1.33%、2.67%、2.67%，均低于对照组的6.67%、10%、8%，差异有统计学意义（P0.05）。结论 通过胎心监护对分娩产妇的产程进行观察，虽然会对产妇的剖宫产率进行一定的增加，但能够有效对胎儿窘迫漏诊率、新生儿轻度窒息率以及新生儿重度窒息率进行降低，值得临床推广应用。 　　[Abstract] Objective To retrospectively analyze the value of fetal heart monitoring in the labour course observation. Methods 300 cases of puerperas giving birth in our hospital from July 2014 to September 2015 were selected and randomly divided into two groups with 150 cases in each， the control group were given conventional labour course observation， the observation group were given fetal heart monitoring on the basis of the control group， the cesarean section rate， missed diagnosis rate of fetal distress， neonatal slight asphyxia rate and neonatal severe asphyxia rate of the two groups were statistically compared， and the clinical application value of fetal heart monitoring was evaluated. Results The cesarean section rate in the observation group was obviously higher than that in the control group （35.33% vs 20%）， the missed diagnosis rate of fetal distress， neonatal slight asphyxia rate and neonatal severe asphyxia rate in the observation group were lower than those in the control group，（1.33%，2.67%，2.67% vs 6.67%，10%，8%）（P0.05）， and the differences were statistically significant. Conclusion Labour course observation by fetal heart monitoring can increase the cesarean section rate of puerperas to a certain degree， but it can effectively decrease the missed diagnosis rate of fetal distress， neonatal slight asphyxia rate and neonatal severe asphyxia rate， which is worth promotion and application. 　　[Key words] Fetal heart monitoring； Labour course observation； Application value 　　对妊娠产妇进行产程观察，是对其母婴生存质量的保证，且随着