525胎心宫缩图中基础胎心率对胎监评分影响分析.docVIP

胎心宫缩图中基础胎心率对胎监评分影响分析 [摘要]目的：探讨胎心宫缩图中的基础胎心率对胎儿宫内状况的监测评分的临床意义和作用。方法：本研究选择120例2005年1月-2010年12月来我院分娩的孕妇，分为数量相等的两组，对其中研究组的60例孕妇应用胎心率电子监护仪将胎心率曲线以及宫缩压力波形记录下来并绘制成宫缩图，供临床分析。其中60例（对照组）则不做宫缩图的记录，只是依赖普通的听筒听诊方式来决定胎儿是否窘迫以及对胎儿缺氧的早期处理等问题。最后比较所谓的因胎儿窘迫而行不必要的剖宫产的例数，进而比较胎心宫缩图在胎儿外监测评中的临床意义。结果：研究数据显示，研究组因为误诊而采取剖腹产率只有2%而对照组则高达10%。结论：胎心宫缩图中的基础胎心率对胎儿宫内状况的监测评分有重要的意义，对正确判断胎儿在宫内的情况有很重要的临床意义，值得临床推广。 [关键词]肽心宫缩图；胎儿外监；剖腹产 Aanalysis of fetal heart contractions in the basis of fetal heart rate on fetal monitoring score [Abstract] Objective: To investigate fetal heart contractions in the figure the basis of fetal heart rate monitoring on the status of the intrauterine score of clinical significance and role. Methods: In this study, 120 cases of pregnant women January 2005 December -2010 delivery, divided into two groups of equal number, 60 cases of pregnant women application which group FHR electronic monitor fetal heart ratecurve and contractions of the pressure waveform recorded and plotted as the contractions diagram for clinical analysis. 60 cases (control group) do contractions chart records, but rely on ordinary earpiece the auscultation way to determine the fetal distress and fetal hypoxia early treatment. The last so-called line of unnecessary cesarean section for fetal distress, the number of cases, and then compare the clinical significance of fetal heart contractions Figure fetus outside the monitoring and assessment. Results: The data show that the study group because of misdiagnosis and take the caesarean section rate was only 2% while the control group is as high as 10%. Conclusion: The fetal heart contractions Figure the basis of fetal heart rate monitoring on the status of the intrauterine score significance, correct judgment of the fetus in utero, the situation has very important clinical significance, worthy of promotion. [Key words] diagram of peptide heart contractions; fetus outside the prison; caesarean section 临床上我们通过对胎儿内、外监护从而获得胎儿心率的信息，进而来判断胎儿在母体子宫内的生长状况。胎心宫缩图( cardiotocog