胎心电子监护在足月妊娠分娩中的应用价值

ELECTRONIC MONITORING OF FETAL HEART RATE IN TERM PREGNANCY AND DELIVERY

目的探讨胎心电子监护在足月妊娠分娩中的应用价值。方法将住院分娩产妇300例按产时胎心监护方法不同分为两组,实验组150例采用胎心电子监护,对照组150例采用多普勒测胎心,分析两组病例的胎儿窘迫诊断率、新生儿窒息率、剖宫产率、阴道助产率等。结果实验组与对照组的胎儿窘迫诊断率分别为14.67%与8.66%、新生儿窒息率分别为0.67%与8.67%、以胎儿窘迫为指征的剖宫产率及阴道助产率分别为15.33%与7.33%和11.33%与5.33%,组间比较差异均有统计学意义(P<0.05)。结论产程中连续胎心监护虽然增加了剖宫产率和阴道助产率,但能指导临床更早、更准确地判断胎儿宫内缺氧,降低新生儿窒息率,提高了新生儿出生质量。

Objective To explore the value of electronic monitoring of fetal heart rate in term pregnancy and delivery .Methods 300 cases of lying-in woman were divided into the experimental group of 150 cases receiving electronic monitoring of fetal heart and the contrast group of 150 cases receiving Doppler monito-ring of fetal heart . The fetal distress rates of fetal distress ,neonatal asphyxia ,cesarean section rate and vaginal delivery were compared between the two groups .Results The diagnosis rates of fetal distress ,neonatal asphyxia ,fetal distress and cesarean delivery were 14 .67% ,0 .67% ,15 .33% and 11 .33% in the experimental group and 8 .66% ,8 .67% ,7 .33% and 5 .33% in the contrast group（ P 〈0 .05） .Conclusion Successive fetal heart monitoring may result in the increase of cesarean section and vaginal delivery ,but it can early and accurately diagnose fetal hypoxia ,reduce the rate of neonatal asphyxia and improve the birth quality .