胎儿脐血流监测与胎心监护在预测新生儿结局的临床价值研究

Study on clinical value of fetal umbilical blood flow monitoring and fetal heart monitoring in predicting neonatal outcome

目的研究和分析胎儿脐血流监测与胎心监护在预测新生儿结局的临床价值。方法本次临床实践研究主要选取了2014年6月至2015年6月期间,本院接受治疗的产妇48例作为临床实践研究的对象,将48例产妇分为观察组24例和对照组24例。观察组采用产前胎心监护及脐带血流监测联合的方式,对照组仅采用胎心监护的方式,对比两组产妇的新生儿结局。结果观察组24例产妇中,新生儿评分8~10分为18例,4~7分为6例,0~3分为0例,死亡0例;对照组24例产妇中,新生儿评分8~10分为10例,4~7分为11例,0~3分为3例。死亡1例,为重度子痫前期合并胎儿生长受限。观察组产妇新生儿结局明显优于对照组的产妇,两组之间的差异对比具有统计学意义（P〈0.05）。结论胎儿脐血流监测与胎心监护联合应用于新生儿结局的预测,能够提升临床预测的准确性,从而为产妇开展积极的治疗工作,避免新生儿出现死亡,对于产妇的健康以及新生儿的生命都将会产生重要的影响。

Objective Study and analyze the clinical value of fetal umbilical blood flow monitoring and fetal heart monitoring in predicting neonatal outcome.Methods This clinical practice study mainly selected 48 cases of pregnant women who received treatment in our hospital from June 2014 to June 2015 as the target of clinical practice,and the 48 cases were divided into observation group and control group with 24 cases in each group.In the observation group,both fetal heart rate and umbilical blood flow monitoring were carried out,the control group only received fetal heart rate monitoring,neonatal outcome of the two groups were compared.Results Among the 24 cases in observation group,neonatal score of 18 cases were ranged from 8 to 10,6 cases were between 4 and 7 points,none was between 0 and 3 points,0 cases of death.Among the 24 cases of control group,neonatal score of 10 cases were between 8 and 10,11 cases were between 4 and 7 points,3 cases were between 0 and 3 points,1 case died of severe preeclampsia complicated with fetal growth restriction.The outcome of the observation group was significantly better than that of the control group,and the difference between the two groups was statistically significant（P〈0.05）.Conclusions Fetal umbilical blood flow monitoring combined with fetal heart rate monitoring for neonatal outcome prediction,can improve the accuracy of clinical prediction,so as to carry out active treatment for the pregnant women to avoid neonatal death,will have an important impact on maternal health and neonatal life.