胎心监护在围产保健中的应用

Application of Fetal Heart Monitoring in Perinatal Care

目的:探讨采取常规产前胎心监护对新生儿预后的临床价值。方法:选择我院产科门诊胎监室定期检查的900例孕妇,于妊娠36周开始行无应激试验(NST)检查,每周一次。筛选出有反应型851例作为对照组,无反应型49例作为观察组,观察比较两组剖宫产率及新生儿窒息率。结果:①本组900例孕妇临产前NST有反应型851例,占94.56%,无反应型49例,占5.44%;②对照组行剖宫产者275例,占32.31%,观察组剖宫产者31例,占63.27%;③对照组轻度窒息患儿10例,窒息发生率1.18%,观察组窒息患儿总数20例,发生率40.82%,两组比较差异有极显著差异性(P<0.01)。结论:产前进行胎心监护可以及早发现宫内胎儿窘迫并进行干预,降低围生期胎儿死亡率。

Objective：To investigate the clinical value of fetal monitoring on the outcome of neonatal.Methods：900 cases of pregnant women in our hospital were checked with fetal monitoring（no-stress test,NST） regularly from the 36th week of pregnancy once a week.Selected 851 cases with positive respond as the control group,49 patients with negative respond as the observation group.We observed and compared the rate of cesarean section and neonatal asphyxia.Results：1.In the total of 900cases,851 were subject to posive respond（94.56%）,49 were non—respond cases（5.44%）;2.The rate of cesarean section in the control group were 32.31%（275/851）,and that in the observation group was 63. 27%（31/49）;3.Totally,20 out of 49 of the observation grouphappened newborn asphyxia（40.82%）,and that in the control group was only 1. 18%（10/851）,the difference was significant（P0.01）.Conclusion：The application of Fetal Heart Monitoring in Perinatal Care can find the fetal distress early,and lower the perinatal fetal mortality.