60例胎儿心电图监测胎儿宫内状况的结果分析

ANALYSIS ON 60 CASES OF FETAL INTRAUTERINE STATEMONITORED BY FETAL ELECTROCARDIOGRAM

探讨胎儿心电图在早期诊断胎儿宫内窘迫和脐带绕颈中的临床价值。方法：对６０例初孕产妇临产前后胎儿心电图（ＦＥＣＧ）的监测，同时与ＮＳＴ和Ｂ超监测结果对比，以新生儿阿氏评分作为新生儿结局的判断。结果：ＦＳＴ段改变，ＦＱＲＳ时限延长＞０．０５５，应注意胎儿宫内窘迫或脐带绕颈。ＦＱＫＳ振幅＞３０μＶ，应注意胎儿体重≥３５００ｇ。结论：ＦＥＣＧ可以作为早期发现胎儿脐带绕颈、胎儿宫内窘迫的指标之一。

Objective: To evaluate the clinical value of fetal electrocardiogram (FECG) for early diagnosing fetal intrauterine embarrassmentand cord around neck. Methods: In 60 cases of primigravida, FECG was performed fore and after parturient, and the results werecompared With the monitoring results of NST and B-ultrasonic respectively. Apgar Point System for Neonatus was used as thejudgement standard of neonatal upshot. Results: The accoucheurs should pay attention to fetal intrauterine embarrassment andcord around neck while FST waveband changed and the retardation of FQRS wave was greater than 0.05 second. It was possiblethat the fetal body weight was greater than 3,500g while the fluctuation of FQRS wave was greater than 30uv. Conclusions: FECGcan be applied as an important method for early diagnosing fetal intrauterine embarrassment and cord around neck.