中国医药
中國醫藥
중국의약
CHINA MEDICINE
2010年
11期
1057-1059
,共3页
胎儿窘迫%入室试验%胎儿监测%分娩%人工破膜
胎兒窘迫%入室試驗%胎兒鑑測%分娩%人工破膜
태인군박%입실시험%태인감측%분면%인공파막
Fetal distress%Admission test%Fetal monitoring%Labor%Artificial rupture of membrane
目的 探讨胎心入室试验联合人工破膜对预测胎儿宫内窘迫的价值. 方法 将2008年6月至2009年6月人我院后24 h内分娩的1316例孕妇(33+5～43孕周)根据胎心入室试验分为低风险组和高风险组,分析其胎心入室试验、分娩结局、羊水及新生儿Apgar评分. 结果 胎心入室试验示1030例为反应型(78.27%),144例为可疑型(10.94%),142例为危险型(10.79%);总的新生儿窒息率为6.53%(86例),反应型组窒息率为1.94%(20例),危险型为33.33%(48例);羊水污染率反应型为20.97%(216例),危险组为67.61%(96例),2组间差异有统计学意义(P＜0.01).高危孕妇可疑型、危险型的羊水污染率及新生儿窒息率均较低风险孕妇高,两组间差异有统计学意义(P＜0.05). 结论 胎心入室试验反应型可预测在以后的4～5 h内胎儿在宫内是安全的,胎心入室试验联合人工破膜可预测胎儿预后.
目的 探討胎心入室試驗聯閤人工破膜對預測胎兒宮內窘迫的價值. 方法 將2008年6月至2009年6月人我院後24 h內分娩的1316例孕婦(33+5～43孕週)根據胎心入室試驗分為低風險組和高風險組,分析其胎心入室試驗、分娩結跼、羊水及新生兒Apgar評分. 結果 胎心入室試驗示1030例為反應型(78.27%),144例為可疑型(10.94%),142例為危險型(10.79%);總的新生兒窒息率為6.53%(86例),反應型組窒息率為1.94%(20例),危險型為33.33%(48例);羊水汙染率反應型為20.97%(216例),危險組為67.61%(96例),2組間差異有統計學意義(P＜0.01).高危孕婦可疑型、危險型的羊水汙染率及新生兒窒息率均較低風險孕婦高,兩組間差異有統計學意義(P＜0.05). 結論 胎心入室試驗反應型可預測在以後的4～5 h內胎兒在宮內是安全的,胎心入室試驗聯閤人工破膜可預測胎兒預後.
목적 탐토태심입실시험연합인공파막대예측태인궁내군박적개치. 방법 장2008년6월지2009년6월인아원후24 h내분면적1316례잉부(33+5～43잉주)근거태심입실시험분위저풍험조화고풍험조,분석기태심입실시험、분면결국、양수급신생인Apgar평분. 결과 태심입실시험시1030례위반응형(78.27%),144례위가의형(10.94%),142례위위험형(10.79%);총적신생인질식솔위6.53%(86례),반응형조질식솔위1.94%(20례),위험형위33.33%(48례);양수오염솔반응형위20.97%(216례),위험조위67.61%(96례),2조간차이유통계학의의(P＜0.01).고위잉부가의형、위험형적양수오염솔급신생인질식솔균교저풍험잉부고,량조간차이유통계학의의(P＜0.05). 결론 태심입실시험반응형가예측재이후적4～5 h내태인재궁내시안전적,태심입실시험연합인공파막가예측태인예후.
Objective To evaluate the value of admission test of fetal heart rate and artificial rupture of membrane in predicting fetal distress in labor. Methods Totally 1316 pregnant women who had been pregnant for 33 + 5 to 43 weeks and deliveried spontaneously in 24 hours were divided into low risk group and hign risk group,according to the admission tests.The admission test,result of delivery,amniotic fluid contamination and Apgar scores of newborns were analyzed. Results All 1030 cases were reactive type(78.72%),144 cases were equivocal type(10.94%)and 7142 cases were ominous type(10.79%).Total incidence of neonatal asphyxia was 6.53%.It was 1.94% ,12.50% and 33.33% in reactive type subjects,equivocal type subjects and ominous type subjects,respectively.The incidences of amniotic fluid contamination and neonatal asphyxia were lower significantly in the low risk group than those in the high-risk group and equivocal type group(P ＜ 0.05). Conclusion Admission test of fetal heart rate and artificial rupture of membrane can be used to screen fetal distress in labor.
