探讨产前、产时胎心监护对胎儿窘迫的诊断价值

《探讨产前、产时胎心监护对胎儿窘迫的诊断价值》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、探讨产前、产时胎心监护对胎儿窘迫的诊断价值杨瑛尹喜平临潼区妇幼保健院西安凤城医院摘要：目的探讨产前、产时胎心监护对胎儿窘迫的诊断价值。方法选取我院2013年12月至2016年8月收治的600例孕妇作为研宂对象，将胎心监护正常考332例作为对照组，将胎心监护异常者268例作为观察组，比较两组新生儿粪染、胎儿窘迫、窒息及胎儿窘迫危险因素的发牛.率。结果观察组新半.儿羊水irii度粪染、胎儿窘迫、新生儿窒息的发生率均明显高于对照组，差异具有统计学意义(P<0.05);观察组危险因素总发生率明显高于对照组，差异具有统计学意义(P<0.05)。结论对孕产妇进行产前、产时胎儿心电

2、监护能帮助及早发现和诊断胎儿窘迫，减少新生儿窒息及围生儿致残和致死率，保障母婴安全。关键词：胎心监护;胎儿窘迫;产前诊断;作者简介：杨瑛(1976-),女，汉族，陕西临潼人，副主任医师，硕士。研宄方向:妇产科。作者简介：尹喜平，E-mail:1640385334@qq.com.DiagnosticvalueofprenatalandintrapartumfetalheartratemonitoringforthediagnosisoffetaldistressYANGYinsYINXi-pingMaternalandChildHealthCareinLintong;F

3、engchengHospitalofXi’an;Abstract：ObjectiveToinvestigatethediagnosticvalueofprenatalandintrapartumfetalheartratemonitoringforthediagnosisoffetaldistress.MethodsAtotalof600casesofpregnantwomenadmittedinourhospitalfromDecember2013toAugust2016wereselectedastheresearchobjects.Atotalof332case

4、sofpregnantwomenwithnormalfetalheartratemonitoringwereenrolledasthecontrolgroup,andtheother268casesofpregnantwomenwithabnormalfetalheartratemonitoringwereenrolledastheobservationgroup.Theincidenceofnewbornmeconium-stained,fetaldistress,neonatalasphyxiaandtheriskfactorsoffetaldistresswer

5、ecomparedbetweenthetwogroups.ResultsTheincidenceofII-IIInewbornmeconium-stained，fetaldistressandneonatalasphyxiaintheobservationgroupweresignificantlyhigherthanthoseinthecontrolgroup,andthedifferenceswerestatisticallysignificant(P<0.05).Thetotalincidenceoftheriskfactorsoffetaldistressin

6、theobservationgroupwassignificantlyhigherthanthoseinthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).ConclusionTheprenatalandintrapartumfetalheartratemonitoringformaternalwomencanhelptodiscoveryanddiagnosethefetaldistressasearlyaspossibletoreducetherateofneonatalasphy

7、xia,perinataldisabilityandfatalityrateandensurethesafetyofmaternalandinfant.Keyword：fetalheartratemonitoring;fetaldistress;prenataldiagnosis;胎儿窘迫是产科常见急诊之一，指胎儿在子宫内出现缺氧的情况，会对其正常发育和生命构成威胁。胎儿窘迫多发生于妊娠晚期及临床过程中。当胎儿发生宫内窘迫时，若不能及时做出诊断，采取有效的干预措施，可导致新生儿窒息甚至死亡U1。胎心监护是了解胎儿在宫内安危的一项重要指标。该方法可通过