探讨产前、产时胎心监护对胎儿窘迫的诊断价值.docVIP

探讨产前、产时胎心监护对胎儿窘迫的诊断价值 杨瑛 尹喜平 临潼区妇幼保健院 西安凤城医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨产前、产时胎心监护对胎儿窘迫的诊断价值。方法 选取我院2013年12月至2016年8月收治的600例孕妇作为研究对象, 将胎心监护正常者332例作为对照组, 将胎心监护异常者268例作为观察组, 比较两组新生儿粪染、胎儿窘迫、窒息及胎儿窘迫危险因素的发生率。结果 观察组新生儿羊水IIIII度粪染、胎儿窘迫、新生儿窒息的发生率均明显高于对照组, 差异具有统计学意义 (P0.05) ;观察组危险因素总发生率明显高于对照组, 差异具有统计学意义 (P0.05) 。结论 对孕产妇进行产前、产时胎儿心电监护能帮助及早发现和诊断胎儿窘迫, 减少新生儿窒息及围生儿致残和致死率, 保障母婴安全。 关键词： 胎心监护; 胎儿窘迫; 产前诊断; 作者简介：杨瑛 (1976-) , 女, 汉族, 陕西临潼人, 副主任医师, 硕士。研究方向:妇产科。 作者简介：尹喜平, E-mail:1640385334@. Diagnostic value of prenatal and intrapartum fetal heart rate monitoring for the diagnosis of fetal distress YANG Ying YIN Xi-ping Maternal and Child Health Care in Lintong; Fengcheng Hospital of Xian; Abstract： Objective To investigate the diagnostic value of prenatal and intrapartum fetal heart rate monitoring for the diagnosis of fetal distress. Methods A total of 600 cases of pregnant women admitted in our hospital from December 2013 to August 2016 were selected as the research objects. A total of 332 cases of pregnant women with normal fetal heart rate monitoring were enrolled as the control group, and the other 268 cases of pregnant women with abnormal fetal heart rate monitoring were enrolled as the observation group. The incidence of newborn meconium-stained, fetal distress, neonatal asphyxia and the risk factors of fetal distress were compared between the two groups. Results The incidence of II-III newborn meconium-stained, fetal distress and neonatal asphyxia in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P0.05) . The total incidence of the risk factors of fetal distress in the observation group was significantly higher than those in the control group, and the difference was statistically significant (P0.05) . Conclusion The prenatal and intrapartum fetal heart rate monitoring for maternal women can help to discovery and diagnose the feta