胎儿监护与脐带异常相关因素分析

An anlysis of factor related to fetal monitor and umbilical cord

目的：产前胎儿监护以提高产科质量，降低围产儿死亡率。方法：使用国产CTF—Ⅱ型胎儿监护仪，对252名临产孕妇进行产前胎儿监护。结果；发现脐带异常图形85例（33．7％），发生胎儿窘迫23例（27．l％）。跟踪分娩时情况，证实均有脐带绕颈或脐带过短，使其手术产率明显增高。本组无明显产程延长，与文献报告不相符。结论：在监护基础上，认真评价异常图形、结合临床实际、综合诊断它内窘迫并及时处理产程每一个环节，才能保障母儿平安。

0bjective: antepo tum fetal monitor can raise the qua1ity of obstetric department and reduce perinatal mortality. Meth0ds: With the CTF- II fetal monitoring apparatus made in China, an antenatal fetal monitoring was per formed in 252 parturients. Results: 85 abnormal unbilical cord imagesa (33. 7% ) and 23 fetal predicaments (27. l % ) were found that problems of umbilical cord circling necks or umbilical cord being short existed within the cases, which resulted in a higher caesarean birth rate. this group show no obvious prolongation of birth process, which did not agree with the previous reports- Conclusion: we think that both of the mother and babies could be safer only when we guarantee correct estimation of abnormal images based on monitoring, and an integrated diagnosis of intrauttrine predicament combined with clinic practice and an prompt handing of every detail in the birth process.