反复胎心监护异常产妇的脐带因素分析

Analysis of Umbilical cord Factors in Parturient with Abnormal Fetal Heart Monitoring

目的分析由脐带因素所导致的反复胎心监护异常。方法选取2次及以上因胎心监护异常住院,观察无异常出院者200人,作为甲组;选取仅一次因胎心监护异常住院,观察无异常出院者200人,作为乙组;选取未因胎心监护异常住院者200人作为对照组。分析3组的一般情况、分娩时诊断胎儿窘迫、新生儿Apagar 评分、脐血血气、脐带异常情况。结果甲组分娩时诊断胎儿窘迫者明显多于其他2组,差异有统计学意义(P<0.05)。脐带螺旋指数(UCI)异常人数,甲组多于其他2组,差异有统计学意义(P<0.05)。结论要重视脐带因素尤其是脐带螺旋指数异常所致的胎心监护异常。

Objective To analyze the abnormal fetal heart monitoring caused by umbilical cord factors.Methods Two or more times of hospitalization due to abnormal fetal heart monitoring were selected,and200patients without abnormal hospitalization were observed as group A.Only one hospitalization due to abnormal fetal heart monitoring was selected,and200patients without abnormal hospitalization were observed as group B.200people who were not hospitalized due to abnormal fetal heart monitoring were selected as the control group.General condition,diagnosis of fetal distress at birth,neonatal Apagar score,umbilical cord blood,blood gas and umbilical cord abnormality were analyzed.Results The number of patients diagnosed with fetal distress in group A was significantly higher than that in the other two groups,and the difference was statistically significant(P<0.05).The number of umbilical cord spiral index(UCI)abnormalities was higher in group A than in the other two groups,and the difference was statistically significant(P<0.05).Conclusion We should pay attention to the factors of umbilical cord especially the abnormality of fetal heart monitoring caused by the abnormality of umbilical cord spiral index.