中央型胎心监护仪在产程中的应用

The application of central type fetal heart monitor in course of labor

目的探讨中央型胎心监护仪在分娩过程中的应用价值。方法282例产妇及胎儿为观察组,利用中央型胎心监护仪系统进行持续胎心电子监护。对照组253例采用常规的方法(多普勒)听胎心观察产程。分别计算两组胎儿宫内窘迫率、新生儿窒息率和剖宫产率。结果观察组的新生儿窒息率发生率明显低于对照组,剖宫产率也明显比对照组高。结论中央型胎心电子监护仪的使用可以了解胎儿在宫内的情况,是判断胎儿早期缺氧的敏感指标之一,能尽早发现并及时处理胎儿宫内窘迫,明显降低新生儿窒息率,保证母婴安全,大大提高了产科质量。

Objective To study the application of central type fetal heart monitor in course of labor. Methods 282 parturients were allocated into observation group with application of central type fetal heart monitor in course of labor and the other 253 parturients were allocated into control group with conventional （Doppler） method for examining fetal heart in course of labor. The fetal distress rate in uterus, rate of apneea neonatorum and rate of cesarean section were observed and calculated in these two groups. Results The incidence rate of apnoea neonatorum in observation group was lower than that of control group, and the rate of cesarean section in observation group was higher than that of control group. Conclusion Central type fetal heart monitor can comprehend the situation of fetus in uterus and judge the anoxia neonatorum index. The early detection and management may cut down the rate of apneea neonatorum, thus it may guarantee the safety of mother and baby and raise the obstetrical quality.