CAJ | 학술논문

目的：探讨胎心电子监护在足月妊娠分娩中的应用价值。方法将住院分娩产妇300例按产时胎心监护方法不同分为两组，实验组150例采用胎心电子监护，对照组150例采用多普勒测胎心，分析两组病例的胎儿窘迫诊断率、新生儿窒息率、剖宫产率、阴道助产率等。结果实验组与对照组的胎儿窘迫诊断率分别为14．67％与8．66％、新生儿窒息率分别为0．67％与8．67％、以胎儿窘迫为指征的剖宫产率及阴道助产率分别为15．33％与7．33％和11．33％与5．33％，组间比较差异均有统计学意义（ P ＜0．05）。结论产程中连续胎心监护虽然增加了剖宫产率和阴道助产率，但能指导临床更早、更准确地判断胎儿宫内缺氧，降低新生儿窒息率，提高了新生儿出生质量。
목적：탐토태심전자감호재족월임신분면중적응용개치。방법장주원분면산부300례안산시태심감호방법불동분위량조，실험조150례채용태심전자감호，대조조150례채용다보륵측태심，분석량조병례적태인군박진단솔、신생인질식솔、부궁산솔、음도조산솔등。결과실험조여대조조적태인군박진단솔분별위14．67％여8．66％、신생인질식솔분별위0．67％여8．67％、이태인군박위지정적부궁산솔급음도조산솔분별위15．33％여7．33％화11．33％여5．33％，조간비교차이균유통계학의의（ P ＜0．05）。결론산정중련속태심감호수연증가료부궁산솔화음도조산솔，단능지도림상경조、경준학지판단태인궁내결양，강저신생인질식솔，제고료신생인출생질량。
Objective To explore the value of electronic monitoring of fetal heart rate in term pregnancy and delivery .Methods 300 cases of lying-in woman were divided into the experimental group of 150 cases receiving electronic monitoring of fetal heart and the contrast group of 150 cases receiving Doppler monito-ring of fetal heart . The fetal distress rates of fetal distress ,neonatal asphyxia ,cesarean section rate and vaginal delivery were compared between the two groups .Results The diagnosis rates of fetal distress ,neonatal asphyxia ,fetal distress and cesarean delivery were 14 .67% ,0 .67% ,15 .33% and 11 .33% in the experimental group and 8 .66% ,8 .67% ,7 .33% and 5 .33% in the contrast group( P <0 .05) .Conclusion Successive fetal heart monitoring may result in the increase of cesarean section and vaginal delivery ,but it can early and accurately diagnose fetal hypoxia ,reduce the rate of neonatal asphyxia and improve the birth quality .