胎心监护预测胎儿窘迫的临床价值

The Clinical Value of Fetal Electrical Monitor in Forecasts Fetal Distress

目的:探讨胎心监护预测胎儿窘迫的临床价值。方法:通过分析1 000例孕妇产前胎心监护的资料,结合产时羊水性状及产后新生儿Apgar评分,以评价两种胎心监护方法预测胎儿窘迫的临床价值。结果:NST试验正常者816例,新生儿预后大多良好;重复NST试验异常者41例,羊水Ⅱ-Ⅲ度污染者16例,新生儿轻度窒息者9例;NST+OCT联合试验阳性者26例,羊水Ⅱ-Ⅲ度污染者21例,新生儿轻度窒息者14例。结论:NST+OCT联合试验用于预测胎儿窘迫比重复NST试验更有应用价值,很大程度上提高了诊断准确率,为积极治疗提供可靠的依据,降低了围生儿窒息率及病死率,值得在临床广泛推广应用。

Objective： To investigate the clinical value of fetal heart rate monitoring（FHRM） in forecasting fetal distress. Methods：Through analyzes the results of FHRM of 1,000 patients, union the character of amniotic fluid and the Apgar＇s score at birth and to appraises the clinical value of FHRM in forecasting fetal distress. Results： There were 816 cases with normal NST （Non-stress test） in 1 000 cases,their neonatal prognosis were mostly good. There were 16 cases of amniotic fluid contaminated Ⅱ～Ⅲ degree and 9 cases of mild neonatal asphyxia in the 41 cases with abnormal repeat NST. There were 21 cases of amniotic fluid contaminated Ⅱ～Ⅲ degree and 14 cases of newborn mild asphyxia in the 26 cases with abnormal union NST＋OCT. Conclusion： Union NST＋OCT used in forecasting fetal distress were more valuable compared with repeat NSTo It may enhance the nicety rate of diagnosis in great degree and reduced the rate of morbidity and fatality rates of neonatal asphyxia. It＇s worth to promote application widespread in the clinical.