妊娠晚期胎心监护的非应激性试验临床研究

Clinical Investigation on Fetal Electronic Monitoring in Later Period of Pregnancy for Non-Stress Test

目的探讨妊娠晚期胎心监护对临床的应用价值。方法选择280例胎心监护非应激性试验(NST)异常孕妇为观察组,抽取同期270例胎心监护(NST)正常孕妇作为对照组,分析两组孕妇妊娠合并症的发生率,胎心率监测结果及围产儿死亡率。结果观察组孕妇妊娠合并症明显高于对照组(P<0.05)。观察组新生儿窒息和低体重儿的发生与对照组有显著性差异(P<0.05),羊水污染和围产儿死亡率无显著差异(P>0.05)。结论NST是妊娠晚期产前胎儿电子监护的有效方法可提前筛选预测胎儿宫内窘迫,为临床做出前瞻性诊断,改善围产儿预后。

Objective To investigate the clinical value of the fetal electronic monitoring for later period pregnancy. Methods Two hundred and eighty cases with abnormal fetal electronic monitoring were chosen for observe group. At the same time, 270（NST）cases pregnancy were served as a normal study group. The abnormal NST effects between the two groups were analyzed. The pregnancy complication, fetal electronic monitoring and perinatal mortality were observed. Results The incidence of pregnancy complication was significantly higher in the observe group than that in the study group（P〈0.05）. Asphyxia of the newborn and low birth weight infant were injured. Amniotic fluids with polltion and perinantal mortality were no significantly different between the two groups（P〉0.05）. Conclusion NST is effective method that it is performed in the later period of the pregnancy. It can be used as a screen test to predict the fetal distress, to diagnose for the clinic in the future, and to improve perinatal outcome.