胎心监护联合脐血流监测对早期诊断胎儿宫内窘迫的意义

Significance of fetal heart monitoring combined with umbilical cord blood monitoring in early diagnosis of fetal distress

目的:分析胎心监护联合脐血流监测对早期诊断胎儿宫内窘迫的意义。方法:选取本院产科2016年3月到2017年6月的收治的120例孕妇,根据胎心监护及脐血流监测结果将其分为A组、B组、C组、D组,每组均为30例,依次为胎心监护正常且脐血流监测正常、胎心监护正常但脐血流监测异常、胎心监护异常但脐血流监测正常、胎心监护异常且脐血流监测异常,对比四组胎儿的宫内窘迫发生情况、羊水污染率、胎心异常率以及Apgar评分。结果:A组、B组、C组、D组胎儿的宫内窘迫发生率分别为23.3%、33.3%、36.7%、63.3%,A组明显低于B组、C组、D组,差异显著(P<0.05)。A组的羊水污染率(6.7%)明显低于B组(20.0%)、C组(16.7%)、D组(30.0%);A组与B组的胎心异常率均为13.3%,明显低于C组(23.3%)、D组(30.0%)。A组、B组、C组、D组胎儿Apgar评分为8~10分的构成比分别为100.0%、93.3%、93.3%、86.7%,A组明显高于B组、C组、D组,差异显著(P<0.05)。结论:胎心监护联合脐血流监测对早期诊断胎儿宫内窘迫具有重要意义,可为临床评估胎儿预后提供数据支持,值得推行。

Objective:To analyze the significance of fetal heart rate monitoring combined with umbilical blood flow monitoring in early diagnosis of fetal distress.Methods:120 pregnant women from March 2016 to June 2017 were divided into group A,group B,group C and group D according to the results of fetal heart monitoring and umbilical blood flow monitoring.Each group consisted of 30 pregnant women with normal fetal heart monitoring,normal umbilical blood flow monitoring,abnormal umbilical blood flow monitoring and abnormal fetal heart monitoring.Umbilical blood flow monitoring was normal,fetal heart rate monitoring was abnormal and umbilical blood flow monitoring was abnormal.The incidence of fetal distress,amniotic fluid contamination rate,fetal heart rate abnormality rate and Apgar score were compared among the four groups.Result:The incidence of fetal distress in group A,group B,group C and group D was 23.3%,33.3%,36.7% and 63.3%respectively.The incidence of fetal distress in group A was significantly lower than that in group B,group C and group D(P<0.05).The amniotic fluid contamination rate in group A(6.7%)was significantly lower than that in group B(20.0%),group C(16.7%)and group D(30.0%).The abnormal fetal heart rate in group A and group B(13.3%)was significantly lower than that in group C(23.3%)and group D(30.0%).The Apgar scores of group A,group B,group C and group D were 100.0%,93.3%,93.3%and 86.7%respectively.The Apgar scores of group A were significantly higher than those of group B,group C and group D(P<0.05).Conclusion:Fetal heart rate monitoring combined with umbilical blood flow monitoring is of great significance in early diagnosis of fetal distress,which can provide data support for clinical evaluation of fetal prognosis and is worth promoting.