产时胎心监护意义的探讨

目的主要探讨产时胎心电子监护对新生儿预后,新生儿阿氏评分的影响。以及对剖宫产和阴道手术产率的影响。还有旨在了解胎心监护图形异常和新生儿预后的关系。方法随机将1580例孕妇分为监护组和对照组各790例。两组在新生儿阿氏评分,新生儿预后,剖宫产和阴道手术产率。还分析监护异常图形和阿氏评分的关系。结果剖宫产率和阴道正常产率两组无显著差异(P<0.01),阴道手术产率增加(P>0.01),新生儿窒息率和新生儿疾病率有显著差异。结论监护组不增加剖宫产率,而且及时发现胎儿宫内窘迫可提高新生儿预后。

Objective To explare the relationship between intrapartum constant monitoring in labor with the neonatal prognosis and Apgar score. And the rate of cesarean section and the rate of operation on vagina_Also to investigate the relationship between Abnormal FHR with neonatal prognosis. Methods All 1580 pregnants were divided into two groups.790 pregnants were treatment with intrapartum constant monitoring.The other 790 pregnants were threatmeat comparison group.Some indexes inclouding the apgar score .the neonatal prognosis .and the rate of cesarean section and the rate of operation on vagina were compared in two groups.Conclusion using intrapartum fetal constant monitoring in labor did not increase the rate of cesarean section but enhance the neomatal prognosis because of founding fetal distress in utrus in time.