胎心入室试验监测胎儿预后的价值

The Application of Fetal Heart Admission Test for Fetal Monitoring

对359例临产产妇进行胎心入室试验（admissiontest），根据Ingemarsson等提出的标准将入室试验结果分为3型:反应型（正常型）、可疑型和危险型.结果显示:359例中24树新生儿窒息，窒息率为6.69％。入室试验反应型、可疑型和危险型分别为7827％、10.58％和11.14％。反应型组羊水污染率和新生儿窒息串分别为27.05％和2.85％，而危险型组分别为6750％和32.50％。两组比较差异有极显著意义（均P＜0.01）。提示:胎心入室试验可有效地预测胎儿预后，为产时胎儿监测的重要手段之一。

The purpose of this study was to detect and manage fatal distress early in labor. The fetal heart rate admission test and selective intermittent fetal heart rate monitoring were performed in 359 cases.The results of admission tests for reactive/normal, equivocal and ominous typ6s were 78. 27 %, 10. 58 % and 11. 14 % respectively. The newborn asphyxia rate was 6. 69 % of total cases. In the ominous group, the meconium stain rate in amniotic fluid and the newborn asphyxia rate were 67. 50 % and 32. 50 % respectively Which were much higher than those in the reactive group (P＜0.01). The duration between discover of dangerous figure and delivery has close relationship with newborn prognosis. It is concluded that the admission test in labor and selective intermittent fetal heart rate monitoring are effective monitoring methods for fetal distress.