高危待产妇胎心监护346例临床分析

Clinical Analysis of Fetal Heart Monitoring of 346 High-risk Pregnant Women

目的:探讨高危待产妇产前行电子胎儿监护的方法和意义。方法:选取笔者所在医院2010年6月-2014年6月经入院查体筛选的346例高危待产妇作为研究对象,均给予胎心监护无应激试验(NST)、宫缩激惹试验(CST)。观察产妇分娩方式及新生儿预后。结果:346例高危待产妇NST中反应型252例,无反应型62例,可疑型32例;252例中CST阴性234例,阳性12例,可疑性6例。346例剖宫产率为39.60%,新生儿Apgar评分1 min评分>7分占88.40%。阴性组产妇的剖宫产率明显低于阳性及可疑组,经阴分娩率明显高于阳性及可疑组,差异均有统计学意义(P<0.05),且阴性组新生儿1 min阿普加评分、新生儿窒息发生率较阳性及可疑组比较差异均有明显统计学意义(P<0.05)。结论:对高危待产妇进行电子胎儿监护,可明显提高新生儿生存质量。

Objective：To investigate the methods and significance of fetal heart monitoring for high-risk expectant mothers.Method：346 high-risk expectant mothers via physical examination in our hospital from June 2010 to June 2014 were selected as research objects,and they were given fetal heart monitoring,including non-stress test（NST） and contractions irritability test（CST）.The methods of delivery and neonatal prognosis were observed. Result：In the 346 cases about the NST,252 cases were reactive and 62 cases were unreactive,32 cases were seemed as suspected type.We tested CST for 252 patients,234 cases of them were negative and 12 cases were positive,6 cases were seemed as suspected type.In the 346 cases,cesarean section rate were 39.60%,one-minute Apgar score〉7 accounted for 88.40%.The cesarean section rate of maternal in the negative group was significantly lower than the positive and suspected group,and the vaginal delivery rate of maternal in the negative group was significantly higher than the positive and suspected group,the differences were statistically significant（P〈0.05）.There were significant differences between the two groups in newborn Apgar score of 1 min and the incidence of neonatal asphyxia（P〈0.05）.Conclusion：Fetal heart monitoring for high-risk expectant mothers can obviously improve the quality of life for the newborn survival.