联合监测评分在高危妊娠监护中的价值

THE VALUE OF COMBINATIVE MONITORING SCORES IN OBSERVING HIGH RISK PREGNANCY

采用羊膜镜检、Ｂ超测羊水量、无负荷试验（ＮＳＴ）、测尿Ｅ／Ｃ值及数胎动５项联合监测评分监护高危妊娠，以期早期诊断胎儿宫内缺氧。结果联合监测诊断胎儿宫内缺氧的准确率为８５．３１％，高于任何单项监测。新生儿娩出后Ａｐｇａｒ评分与联合监测评分呈正相关。以新生儿娩出后Ａｐｇａｒ评分≤７分为窒息标准，判断各项监测的灵敏度，联合监测的灵敏度最高（０．７５）。结合文献对５项联合监测的价值进行了讨论。

This essay reports that we used five joint monitoring ways to monitor high risk pregnancy, I. e., amnioscopy, measuring amniotic fluid volume by ultrasound B, nonstress testing (NST),determining E/C with urinoscopy and recording fetal movements,so as to define the diagnosis of fetal hypoxia early and stop pregnancy timely and reduce suffocation and mortality of infant. The result showed that the accurate diagnosis rate is 85.31%,which had an advantage of any individual event monitoring. The Apgar scores of the babies after delivery were related directly as combinative monitoring scores. We took the Apgar scores of the babies after delivery≤7 as asphyxial criterion to judge sensitivity of any individual monitoring. In consequence, combinative monitoring is the most sensitive, its sensitivity is 0. 75. On the basis of documents and our research, the paper has discussed the value of five combinative monitoring in high risk pregnancy.