全产程持续胎心中央监护2611例临床分析

Clinic analysis on 2611 cases with continuous central fetal monitoring during total labor course

目的探讨持续胎心监护对早期发现胎儿宫内窘迫、减少新生儿窒息的作用及对分娩结局的影响。方法选择2008年1月至12月在我院住院分娩时全产程进行持续胎心电子监护的2611例产妇作为观察组，选择2004年1月至12月在我院住院时行定时胎心监护的2671例产妇作为对照组，对2组胎儿宫内窘迫发生率、新生儿窒息的发生率、剖宫产率和阴道手术助产率等进行比较分析。结果观察组和对照组胎儿宫内窘迫发生率分别是4．83％和5．02％、新生儿窒息的发生率分别是（0．92％和1．34％）、剖宫产率和阴道手术助产率分别是54．92％、51．63％和0．94％、0．94％。结论持续胎心监护明显降低重度新生儿窒息的发生率，但也相应增加了剖宫产率。

Objective To discuss the role of continuous central fetal monitoring in early detection of fetal distress and prevention from neonatal asphyxia, and its effect upon delivery outcome. Methods 2 611 puerperants who had a delivery in our hospital during Jan. to Dec. 2008 were chosen as the observation group, while 2 671 puerperants who had a delivery in our hospital during Jan. to Dec. 2004 as the control group. The incidences of fetal distress, neonatal asphyxia, cesarean section, and virginal surgical delivery were compared between the two groups. Results The incidence of fetal distress was 4. 83% in observation group and 5.02% in control group, neonatal asphyxia 0. 92% and 1.34%, cesarean section 54. 92% and 51.63%, and virginal surgical delivery 0. 94% and 0. 94%. Conclusions Continuous fetal monitoring significantly reduces the incidence of severe neonatal asphyxia, however, the incidence of cesarean section is increased correspondingly.