持续电子胎心监护在分娩过程中应用价值探讨.docVIP

持续电子胎心监护在分娩过程中应用价值探讨 　　[摘要] 目的 探讨持续电子胎心监护在分娩过程中的应用价值。 方法 选取2014年1～12月在我院分娩的单胎妊娠产妇250例作为研究对象，按照数字列表法随机分为观察组和对照组，各125例，对照组采用常规方法观察产程，观察组则仅采用持续电子监护观察产程，比较两组临床结果，其中包括剖宫产率、漏诊率、新生儿窒息率及胎儿窘迫率，以及两组新生儿5 min阿氏评分情况。 结果 ①观察组剖宫产率为34.40%，明显高于对照组的18.40%，两组比较差异有统计学意义（χ2=6.172，P0.05）；观察组漏诊率为0，明显低于对照组的5.60%，两组比较差异有统计学意义（χ2=8.529，P0.05）；观察组新生儿窒息率为2.40%，明显低于对照组的14.40%，差异有统计学意义（χ2=7.436，P0.05）；观察组胎儿窘迫率为6.40%，明显低于对照组的19.20%，两组比较差异有统计学意义（χ2=6.942，P0.05）；②观察组新生儿平均5 min阿氏评分为（6.21±1.05）分，明显高于对照组（5.47±0.89）分，两组比较差异有统计学意义（t=5.037，P0.05）。 结论 产妇分娩过程中进行持续电子胎心监护能够准确判断子宫内情况，及时发现异常，显著降低新生儿窒息率及胎儿窘迫率，提高母婴安全性，值得临床应用推广。 　　[关键词] 分娩；胎心监护；产程观察；剖宫产 　　[中图分类号] R714.5 [文献标识码] B [文章编号] 1673-9701（2015）32-0055-03 　　[Abstract] Objective To investigate the application value of continuous electronic fetal heart monitoring in the process of delivery. Methods 250 cases of singleton maternal pregnancies who had delivered in our hospital from January 2014 to December 2014 were chosen as research subjects， according to random number table， and they were randomly divided into the observation group and the control group， with 125 cases in each group. Parturient process of cases in the control group was observed by a conventional method， and that in the observation group was observed only by a continuous electronic monitoring. The clinical outcomes of the two groups were compared， including cesarean section rate， the rate of misdiagnosis， neonatal asphyxia rate and fetal distress rate， as well as 5 min Apgar score of newborns in the two groups. Results ①Cesarean section rate in the observation group was 34.40%， significantly higher than 18.40% in the control group， and the difference was statistically significant（χ2=6.172， P 　　[Key words] Delivery； Fetal heart monitoring； Parturient process observation； Cesarean section 　　胎心情况为反应胎儿健康状况及储备能力的关键[1]，早期发现胎儿异常情况，对于胎儿健康具有重要意义。胎心监护是一种监测胎儿宫内安危状况的重要方法，通过电子监测仪器把胎儿情况及胎心率曲线描绘出来，能准确显示孕妇与胎儿状况信息。有研究[2]报道，持续进行电子胎心监护能够早期发现胎儿在宫内出现的异常状况，有助于及早采取有效措施，从而达到降低发生胎儿宫内窒息风险的目的[3]。为探讨持续电子胎心监护在分娩过