胎心监护异常图形与新生儿结局的探讨

Study the Relation Between Abnormal Fetal Heart Monitoring Graphics and Neonatal Outcomes

目的:分析探讨门诊中胎心监护异常图形与新生儿结局的关系。方法:收集我院门诊部2004年10月至2010年11月足月单胎头位分娩的孕产妇的胎心监护资料,随机抽查胎心监护异常图形患者150例纳入为观察组,按同样的方法抽查门诊部150例胎心监护正常图形的孕妇作为对照组,对胎心监护图形与新生儿结局的相关临床资料进行回顾性调查分析。结果:观察组中羊水粪染的发生率、新生儿窒息的发生率、剖宫产率与对照组相比,显著增高,P<0.01,差异具有统计学意义;基线变异减弱、晚期减速变异减速、是导致新生儿窒息的主要类型;除外PD,其他类型的异常图形中新生儿均有羊水粪染的发生。结论:门诊胎心监护中异常FHR图形具有较高发生率,异常FHR图形与新生儿窒息、羊水粪染等新生儿结局发生密切相关,加强对胎心监护异常图形的监测与观察,有利于改善新生儿的不良结局。

Objective：To investigate the abnormal fetal monitoring in labor between graphics and perinatal outcomes. Method：From our hospital in Oct.2004 to Nov.2010 single cephalic term delivery of maternal fetal heart rate monitoring data,random sampling abnormal fetal heart rate monitoring in patients with graphics included 150 cases of the observation group,the same way 150 cases of hospital delivery checks fetal heart rate monitoring in pregnant women as a normal control group graphics,graphics on the fetal heart rate monitoring and neonatal outcomes associated clinical data were retrospectively analyzed. Result：The incidence of meconium-stained amniotic fluid,the incidence of neonatal asphyxia and cesarean section rate in observation group compared with the control group,were significantly higher,P0.01,significantly different;variable deceleration,late deceleration,reduced baseline variability lead to the main types of neonatal asphyxia;except for PD,other types of anomalies in the newborn graphics are the occurrence of meconium-stained amniotic fluid. Conclusion：The abnormal intrapartum fetal heart rate monitoring in the high incidence of FHR graphics,graphics abnormal FHR and neonatal asphyxia,meconium staining of the other neonatal outcomes is closely related to abnormal fetal heart rate monitoring to strengthen the monitoring and observation of graphics,there helps to improve neonatal adverse outcomes.