江西医学院学报
江西醫學院學報
강서의학원학보
ACTA ACADEMIAE MEDICINAE JIANGXI
2000年
3期
29-32
,共4页
胎儿窘迫%胎儿监测%生物物理相
胎兒窘迫%胎兒鑑測%生物物理相
태인군박%태인감측%생물물리상
fetal distress%fetal monitoring%biophysical score
论证生物物理相测定对胎儿宫内窘迫诊断的意义。方法：用胎心监护仪作NST试验，用B超观察FBM、FM、FT、AFV，该5个指标联合用于监测胎儿宫内状态。结果：新生儿Apgar评分，NST符合率为19．70％，而生物物理相为62．12%，P<0．01；羊水变化NST符合率为34．09％，而生物物理相为55．30％，P<0．01。胎婴儿出生前后的NST、FBM、FM、FT缺氧符合率顺序分别为33．33％、65．15％、75．76％、82．58％。生物物理相应用前后NST异常剖宫产分别为52．9％和41．2％。结论：生物物理相测定能提高胎儿宫内窘迫诊断的准确性，减少产科处理的盲目性和剖宫产率。
論證生物物理相測定對胎兒宮內窘迫診斷的意義。方法：用胎心鑑護儀作NST試驗，用B超觀察FBM、FM、FT、AFV，該5箇指標聯閤用于鑑測胎兒宮內狀態。結果：新生兒Apgar評分，NST符閤率為19．70％，而生物物理相為62．12%，P<0．01；羊水變化NST符閤率為34．09％，而生物物理相為55．30％，P<0．01。胎嬰兒齣生前後的NST、FBM、FM、FT缺氧符閤率順序分彆為33．33％、65．15％、75．76％、82．58％。生物物理相應用前後NST異常剖宮產分彆為52．9％和41．2％。結論：生物物理相測定能提高胎兒宮內窘迫診斷的準確性，減少產科處理的盲目性和剖宮產率。
론증생물물리상측정대태인궁내군박진단적의의。방법：용태심감호의작NST시험，용B초관찰FBM、FM、FT、AFV，해5개지표연합용우감측태인궁내상태。결과：신생인Apgar평분，NST부합솔위19．70％，이생물물리상위62．12%，P<0．01；양수변화NST부합솔위34．09％，이생물물리상위55．30％，P<0．01。태영인출생전후적NST、FBM、FM、FT결양부합솔순서분별위33．33％、65．15％、75．76％、82．58％。생물물리상응용전후NST이상부궁산분별위52．9％화41．2％。결론：생물물리상측정능제고태인궁내군박진단적준학성，감소산과처리적맹목성화부궁산솔。
To evaluate the value of biophysical score in the diagnosis of fetal distress. Methods: 5 parameters including NbT, FBM, FM, FT, AFV were applied to biophysical score to monitor fetal situation. Results: There was significant difference between biophysical score and NST in consistent with the neonatal Apgar′ s value (62.12%, 20.27%, P<0.01) and with the nature of amniotic fluid (55.30%, 34.09%, P<0.01).In regard to diagnosis of fetal distress, coincident rate of NST was 33.33 %, FBM 65.15 %, FM 75.76 %, FT 82.58% in the diagnosis of distress. Rates of cesarean section were 41.2% and 52.9% respectively owing to abnormal biophysical score and abnormal NST. Conclusions: Biophysical score raises the degree of accuracy in diagnosis of fetal distress and reduces the unsuitable obstetric management and the rate of cesarean section.
