胎心监护在围产保健中的应用研究

Study of Fetal Heart Monitor Applicaton in Peripartrum

目的探讨产前胎心监护对围产儿预后的临床意义。方法选择本院2005年5月-2009年10月1 400例孕妇,从妊娠36周起每周行无应激试验检查,根据有无反应,把有反应1320例为对照组,无反应80例为观察组,观察两组的新生儿窒息率。结果本组1 400例次孕妇无应激试验检查中,反应型1 320例次(94.3%);无反应型80例次(5.7%)观察组80例中共有36例发生新生儿窒息,其发生率为45%,有2例为重度窒息,2例死产;而对照组1 320例中仅有18例发生新生儿窒息,且都为轻度窒息,两组比较有显著差异(P<0.01)。结论孕36周起每周进行产前胎监,发现胎心监护评分异常者及时处理,对降低围产儿死亡率有重要意义。

Objective To explore the clinical meaning of FH （fetal heart） monitor upon new- born prognosis antepartum. Methods Total 1400 pregnant women admitted in our hospital from May 2005 to October 2009 were selected. They received NST（ non - stress test） every week from 36th week of pregnancy. 1320 cases with positive respond were named control group, and 80 others with negative respond were put in experimetal group according to the respond results. The newborng asphyxia rate of the two groups were compared. Results Among 1400 grevidas who received the NST, 1320 were subject to positive respond（94. 3% ）, 80 were non -respond cases. Totally, 36 out of 80 of experimetal group happened newborn asphyxia. The incidence rate was 45%. 2 of them were severe asphyxia, and 2 else were stillbirth. However, only 18 cases out of 1320 of control group happened newborn asphyxia, and they were all light asphyxsia. Comparing the two groups, the difference was significant （ P 〈 0. 01 ）. Conclusion It had an dramatical meaning in decreasing the mortality rate of newborn to monitor the FH from 36th of pregnancy antepartum every week and deal with the abnormal FH monitor score in time.