摘要
目的探讨胎心监测联合脐血流检测对于胎儿窘迫的预测价值。方法选择2012年1~10月惠州市第一妇幼保健院足月妊娠孕妇690例,按产前胎心监测、脐动脉血流检测结果分为联合组[脐动脉血流S/D值≥2.5,并且无刺激胎心监护(NST)无反应,60例]、脐血流组(单纯进行脐动脉血流检测,并且S/D值≥2.5,280例),以及胎心监测组(单纯进行胎心监测,并且NST无反应,350例)。对三组胎儿窘迫、新生儿不良结局发生率进行观察和比较。结果联合组胎儿窘迫发生率[48.3%(29/60)]高于胎心监测组[27.1%(95/350)]及脐血流组[22.1%(62/280)],差异有统计学意义(P<0.05);胎心监测组与脐血流组胎儿窘迫发生率差异无统计学意义(P>0.05)。联合组羊水污染、新生儿窒息发生率[41.7%(25/60)、5.0%(3/60)]均高于胎心监测组[24.3%(85/350)、0.3%(1/350)]及脐血流组[20.0%(56/280)、0.7%(2/280)],差异均有统计学意义(P<0.05);脐血流组与胎心监测组的羊水污染、新生儿窒息发生率差异无统计学意义(P>0.05)。结论胎心监测联合脐血流S/D值检测能够及早发现和诊断胎儿窘迫,通过及时干预,明显降低新生儿不良结局的发生率,值得临床广泛推广。
Objective To study the prediction value of fetal distress about the fetal heart monitor with the umbilical blood flow S/D examination. Methods 690 pregnant women with full-term pregnancy in the First Maternal and Child Health Hospital of Huizhou City from January to October 2012 were selected and divided into union group (S/D value of umbilical artery blood I〉 2.5, adiaphoria NST, n = 60), umbilical blood flow group (only the umbilical blood flow examination, and the S/D values〉 2.5, n = 280) and the fetal heart monitor group (only the fetal heart monitor, and adiaphoria NST, n = 350). The incidence of fetal distress and neonatal adverse outcomes were observed and compared. Results The incidence of fetal distress in union group [48.3% (29/60)] was higher than that in umbilical blood flow group [27.1% (95/350)] and fetal heart monitor group [22.1% (62/280)], the differences were statistically significant (P 〈 0.05); the difference of incidence of fetal distress in umbilical blood flow group and fetal heart monitor group was not statistically significant (P 〉 0.05). The incidence of amniotic fluid pollution and neonatal asphyxia in union group [41.7% (25/60), 5.0% (3/60)] were all higher than those in fetal heart monitor group [24.3% (85/350), 0.3% (1/350)] and umbilical blood flow group [20.0% (56/280), 0.7% (2/280)], the differences were statistically significant (P 〈 0.05); the incidence of amniotic fluid pollution and neonatal asphyxia in fetal heart monitor group and umbilical blood flow group was not statistically significant (P 〉 0.05). Conclusion The combined examination of the fetal heart monitor and the umbilical blood flow S/D values can early detect and diagnosis the fetal distress, timely give the appropriate treatment, significantly reduce the incidence of adverse neonatal outcomes, and is worthy of wide clinical promotion.
出处
《中国医药导报》
CAS
2013年第12期63-64,共2页
China Medical Herald
关键词
胎心监测
脐血流S
D值检测
胎儿窘迫
预测
Fetal heart monitor
Umbilical blood flow S/D examination
Fetal distress
Precdiciton