胎儿心电图检测分析胎儿心律失常的临床意义

Clinical significance of fetal electrocardiogram in fetal arrhythmia analysis

目的:探讨胎儿心电图(FECG)对胎儿心律失常检测分析和诊断的临床意义。方法:选择2014年1月~2015年1月在本院产检的孕妇中发现胎儿心律失常96例,综合孕妇病史和临床因素,结合B超检查,分析胎儿心电图,并追踪观察新生儿的心电图。结果:胎儿心电图检测诊断心律失常最多见为:胎儿心动过速,胎心早搏,胎儿心动过缓及不齐。结论:通过胎儿心电图对胎儿心律失常的检测分析和诊断,可以明确胎儿心律失常的分类,而及时发现胎儿宫内环境是否改变,如胎盘、羊水、脐带等因素导致胎儿宫内缺氧,窘迫,从而提醒临床医师及时干预治疗,减少剖宫产率,降低新生儿窒息发生,提高母婴安全。

Objective Exploration on FECG's clinic significance in detecting, analyzing and diagnosing fetal arrhythmia. Methods Based on 96 cases of fetal arrhythmia diagnosed during pregnancy tests from 2014 to 2015 in our hospital, the author analyzes FECG and tracks newborns' ECG considering pregnant women's medical history, ultrasound inspections and other clinic factors. Results Common symptoms of fetal arrhythmia diagnosed by FECG are fetal tachycardia, premature beats and brad arrhythmia. Conclusion Analysis and diagnosis of fetal arrhythmia by FECG can identify types of fetal arrhythmia and detect changes of uterus, such as intrauterine fetal anoxia and distress caused by placenta, amniotic fluid and umbilical cord, so clinicians can adopt intervention and treatment in time, thereby reducing rate of cesarean and asphyxia neonatorum, improving safety of mothers and newborns.