中央电子胎儿监护用于产前监测的临床价值

The clinical significance of central electric fetal monitoringfor ante-partum observation

目的 :探讨中央电子胎儿监护系统用于产前监测的临床价值。方法 :对 2 0 0 1年 1月至 2 0 0 3年 8月在我院住院分娩的 2 5 3例孕妇 (监测组 )进行中央电子胎儿监护 ,与 1998年 7月至 2 0 0 0年 9月在我院住院分娩的未行中央电子胎儿监护的2 5 0例孕妇 (对照组 )进行比较 ,分析两组胎儿监护结果和围产儿结局。结果 :研究组胎心异常检出率 (30 .8% )较对照组 (17.2 % )明显增加 (P <0 .0 5 )。研究组异常图形为变异减速百分率为 2 8.8% ,与对照组 (12 .4 % )比较 ,差异均有显著性 (P <0 .0 5 )。研究组新生儿窒息发生率为 4 .0 % ,低于对照组的 8.4 % (P <0 .0 5 )。两组剖宫产率和产钳助产率差异无显著性 (P >0 .0 5 )。结论 :利用中央电子胎儿监护系统进行产前监测 ,可改善围产儿预后 ,增加手术产率。

Objective:To study the clinical significance of central electric-fetal monitoring system for ante-partum observation and measurement.Methods:The experimental group (253 pregnant women who delivered in our hospital from January,2001 to August,2003) was monitored with the central electric fetal monitoring system.The control group (250 pregnant women who delivered the children in our hospital from July,1998 to September,2000) was not monitered with this system.Then,the results of fetal monitoring and the outcome of prenatal fetuses of the two groups were compared and analyzed.Results:The rate of abnormal FHR was markedly higher in experiment group(30.8%) than in the control group(17.2%),and the rate of variable deceleration in abnormal graph was markedly higher in the experimental group (28.8%) than in the control group (12.4%).There was a significant difference is significant between the two groups.The incidence of asphyxia among newborns was lower in the experimental group (4%) than in the control group (8.4%),and the difference is significant between the two groups.However,there was no significant difference in the rate of cesarean delivery and Simpson forceps delivery between the two groups.Conclusion:Ante-partum monitoring assisted by central electric-fetal monitoring system can improve the prenatal prognosis and increase the rate of cesarean delivery.