中央电子胎儿监护用于产前监测的临床价值

The clinical value of central electronic fetal monitoring system for antepartum 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2005年6月至2005年12月在我院住院分娩的197例孕妇(研究组)进行中央电子胎儿监护,与2001年6月至2001年12月在我院住院分娩的未行中央电子胎儿监护的200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<0.05)。研究组异常图形为变异减速,百分率为28.8%,与对照组(12.4%)比较,差异均有显著性(P<0.05)。研究组新生儿窒息发生率为4.0%,低于对照组的8.4%(P<0.05)。两组剖宫产率和产钳助产率差异无显著性(P>0.05)。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,减少手术产率。

Objentive：To investigate the clinical value of central electronic fetal monitoring system for antepartum observation. Method：The study group （197 pregnant women who delivered in our hospital from June, 2005 to December, 2005） was monitored with the central electronic fetal monitoring system. The control group （200 pregnant women who delivered in our hospital from June, 2001 to December, 2001 ） was not monitored with this system. Then, the results of fetal monitoring and the outcome of perinatal fetuses of the two groups were compared and analyzed. Results. The rate of abnormal FHR was markedly higher in the study group （30.8%） than in the coetrol group （17.2%）, and the rate of variable decoleration in abnormal graph was markedly higher in the study group （28.8%） than in the control group （ 12.4% ）. There was a significant difference between the two groups （ P 〈 0,05）, The incidence of neonatal asphyxia was lower in the study group （4.0%） than in the control group （8.4%）, and the difference is significant between the two groups （P 〈0.05）. However. there was no significant difference in the rate of cesarean delivery in the rate of cesarean delivery and forceps delivery between the two groups （ P 〈 0.05）, Conclusion： Antepanum monitoring assisted by central electronic fetal monitoring system can improve the perinatal prognosis and increase the rate of cesarean delivery.