国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
16期
2353-2355
,共3页
胎心监护%变异减速%脐带缠颈%体位变化
胎心鑑護%變異減速%臍帶纏頸%體位變化
태심감호%변이감속%제대전경%체위변화
Embryo heart monitoring%Variable deceleration%The umbilical cord entangles the neck%Body posture change
目的 探讨胎心监护变异减速与脐带缠颈孕妇体位变化的关系.方法 把我院孕36 w后胎心监护出现变异减速的316例孕妇随机分成两组,左侧卧位胎心监护有变异减速的166例孕妇,采取半卧位或右侧卧位,为观察组;单以左侧卧位进行胎心监护的150例孕妇为对照组.观察两组胎心监护曲线图、脐带缠颈例数、分娩方式及围产儿情况.结果 观察组与对照组相比,正常图形较多,轻度变化减速(MVD)、重变异减速(SVD)、脐带缠颈发生率较少,胎儿窘迫、新生儿窒息率减少,差异均有极显著性(P＜ 0.01);两组分娩方式无显著差异.结论 左侧卧位胎心监护有变异减速的孕妇,改变体位后,胎心监护曲线可恢复正常,脐带压迫解除,甚至使缠绕的脐带松脱,胎儿窘迫、新生儿窒息减少.
目的 探討胎心鑑護變異減速與臍帶纏頸孕婦體位變化的關繫.方法 把我院孕36 w後胎心鑑護齣現變異減速的316例孕婦隨機分成兩組,左側臥位胎心鑑護有變異減速的166例孕婦,採取半臥位或右側臥位,為觀察組;單以左側臥位進行胎心鑑護的150例孕婦為對照組.觀察兩組胎心鑑護麯線圖、臍帶纏頸例數、分娩方式及圍產兒情況.結果 觀察組與對照組相比,正常圖形較多,輕度變化減速(MVD)、重變異減速(SVD)、臍帶纏頸髮生率較少,胎兒窘迫、新生兒窒息率減少,差異均有極顯著性(P＜ 0.01);兩組分娩方式無顯著差異.結論 左側臥位胎心鑑護有變異減速的孕婦,改變體位後,胎心鑑護麯線可恢複正常,臍帶壓迫解除,甚至使纏繞的臍帶鬆脫,胎兒窘迫、新生兒窒息減少.
목적 탐토태심감호변이감속여제대전경잉부체위변화적관계.방법 파아원잉36 w후태심감호출현변이감속적316례잉부수궤분성량조,좌측와위태심감호유변이감속적166례잉부,채취반와위혹우측와위,위관찰조;단이좌측와위진행태심감호적150례잉부위대조조.관찰량조태심감호곡선도、제대전경례수、분면방식급위산인정황.결과 관찰조여대조조상비,정상도형교다,경도변화감속(MVD)、중변이감속(SVD)、제대전경발생솔교소,태인군박、신생인질식솔감소,차이균유겁현저성(P＜ 0.01);량조분면방식무현저차이.결론 좌측와위태심감호유변이감속적잉부,개변체위후,태심감호곡선가회복정상,제대압박해제,심지사전요적제대송탈,태인군박、신생인질식감소.
Objective To explore the correlation between the embryo heart monitoring variable deceleration (VD) and the umbilical cord entangle the neck pregnant woman body posture changes.Methods 316 cases of 36 w pregnant women with fetus heart rate monitoring (i.e.embryo to supervise) and the VD were randomly divide into two groups,those with left side decubitus embryo heart monitoring still having the VD,166patients adopted half decubitus or right flank position as the observation group,other 150 pregnant women who carried on the embryo heart monitoring by only left side decubitus were selected as the control group.Embryo heart monitoring diagram of curves and B ultra sieves were observed in two groups to find out the belt to entangle the neck example number,the childbirth way and encircles produced the situation.Results The observation group and the control group were compared,the normal graph formation rate increased,the mild variable deceleration (MVD),the severe variable deceleration (SVD),the umbilical cord entangles the neck formation rate reduced,the fetal distress,the newborn suffocates rate decreased(P＜ 0.01); there was no significant difference in the childbirth way.Conclusion Left side decubitus embryo heart monitoring could make the pregnant women with VD,change their body postures,restore the embryo heart monitoring curve normally,relieve the umbilical cord oppression,even cause the winding umbilical cord to loosen,reduce the fetal distress newborn suffocate rate.
