中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2013年
6期
882-884
,共3页
孕产妇%胎心监护%无应激试验%新生儿结局%分娩方式
孕產婦%胎心鑑護%無應激試驗%新生兒結跼%分娩方式
잉산부%태심감호%무응격시험%신생인결국%분면방식
pregnant and lying-in woman%prenatal cardiac monitoring%no stress test ( NST)%neonatal outcomes%delivery mode
目的：探讨孕产妇产前胎心监护异常与脐带、羊水异常及新生儿结局的关系和对分娩方式的影响。方法选择在三门县人民医院产科门诊行产前胎心监护的孕产妇为研究对象，应用无应激试验（ NST ）、B超等对胎心、脐带、羊水情况进行评价，根据NST试验结果将孕产妇分为胎心监护异常组（530例）和正常对照组（2085例），对比分析两组孕产妇脐带、羊水的异常发生率、新生儿结局及分娩方式的差异。结果胎心监护异常组的脐带异常、羊水量异常及羊水粪染的发生率均高于正常对照组，差异均有统计学意义（χ2值分别为112．838、32．220、93．248，P＜0．05）。胎心监护异常组的新生儿出生后1min Apgar评分平均值低于正常对照组（u＝19．533，P＝0．000），且新生儿窒息的发生率高于正常对照组，差异有统计学意义（χ2＝37．589，P＝0．000）。胎心监护异常组的正常产所占比例低于正常对照组，而阴道助产率、有剖宫产指征的剖宫产率均高于正常对照组，差异均有统计学意义（χ2值分别为416．393、26．277、564．367，P＜0．05）。结论产前胎心监护异常与脐带、羊水情况及新生儿结局密切相关，同时也影响着分娩方式的选择。对缺氧损伤胎儿进行及时有效的诊断和处理，可降低新生儿窒息的发生率，对改善预后具有重要意义。
目的：探討孕產婦產前胎心鑑護異常與臍帶、羊水異常及新生兒結跼的關繫和對分娩方式的影響。方法選擇在三門縣人民醫院產科門診行產前胎心鑑護的孕產婦為研究對象，應用無應激試驗（ NST ）、B超等對胎心、臍帶、羊水情況進行評價，根據NST試驗結果將孕產婦分為胎心鑑護異常組（530例）和正常對照組（2085例），對比分析兩組孕產婦臍帶、羊水的異常髮生率、新生兒結跼及分娩方式的差異。結果胎心鑑護異常組的臍帶異常、羊水量異常及羊水糞染的髮生率均高于正常對照組，差異均有統計學意義（χ2值分彆為112．838、32．220、93．248，P＜0．05）。胎心鑑護異常組的新生兒齣生後1min Apgar評分平均值低于正常對照組（u＝19．533，P＝0．000），且新生兒窒息的髮生率高于正常對照組，差異有統計學意義（χ2＝37．589，P＝0．000）。胎心鑑護異常組的正常產所佔比例低于正常對照組，而陰道助產率、有剖宮產指徵的剖宮產率均高于正常對照組，差異均有統計學意義（χ2值分彆為416．393、26．277、564．367，P＜0．05）。結論產前胎心鑑護異常與臍帶、羊水情況及新生兒結跼密切相關，同時也影響著分娩方式的選擇。對缺氧損傷胎兒進行及時有效的診斷和處理，可降低新生兒窒息的髮生率，對改善預後具有重要意義。
목적：탐토잉산부산전태심감호이상여제대、양수이상급신생인결국적관계화대분면방식적영향。방법선택재삼문현인민의원산과문진행산전태심감호적잉산부위연구대상，응용무응격시험（ NST ）、B초등대태심、제대、양수정황진행평개，근거NST시험결과장잉산부분위태심감호이상조（530례）화정상대조조（2085례），대비분석량조잉산부제대、양수적이상발생솔、신생인결국급분면방식적차이。결과태심감호이상조적제대이상、양수량이상급양수분염적발생솔균고우정상대조조，차이균유통계학의의（χ2치분별위112．838、32．220、93．248，P＜0．05）。태심감호이상조적신생인출생후1min Apgar평분평균치저우정상대조조（u＝19．533，P＝0．000），차신생인질식적발생솔고우정상대조조，차이유통계학의의（χ2＝37．589，P＝0．000）。태심감호이상조적정상산소점비례저우정상대조조，이음도조산솔、유부궁산지정적부궁산솔균고우정상대조조，차이균유통계학의의（χ2치분별위416．393、26．277、564．367，P＜0．05）。결론산전태심감호이상여제대、양수정황급신생인결국밀절상관，동시야영향착분면방식적선택。대결양손상태인진행급시유효적진단화처리，가강저신생인질식적발생솔，대개선예후구유중요의의。
Objective To investigate the relationship between prenatal cardiac monitoring anomaly and the anomaly of umbilical cord and amniotic fluid, and neonatal outcomes as well as the effects on delivery mode .Methods The pregnant and lying -in woman who received prenatal cardiac monitoring in obstetrics outpatient clinics of People ’ s Hospital of Sanmen were selected as the research objects .The cardiac monitoring, umbilical cord and amniotic fluid were tested with no stress test (NST), B-ultrasound and so on.According to NST results, the cases were divided into cardiac monitoring anomaly group (n=530) and normal control group (n=2 085).The differences in the incidence of umbilical cord anomaly and amniotic fluid anomaly , neonatal outcomes , and delivery mode between two groups were analyzed.Results The incidence of umbilical cord anomaly , amniotic fluid anomaly and amniotic infection in cardiac monitoring anomaly group was significantly higher than that of the normal control group , and the differences had statistical significance (χ2 value was 112.838, 32.220 and 93.248, respectively, all P<0.05).The average 1 min Apgar score of the cardiac monitoring anomaly group was significantly lower than the normal control group (u=19.533,P=0.000), but the incidence of neonatal asphyxia was obviously higher than normal control group (χ2 =37.589,P=0.000).The proportion of normal delivery in cardiac monitoring anomaly group was lower than the normal control group , while vaginal midwifery rate and cesarean section rate with cesarean section indications were higher than normal control group.The differences between two groups had statistical significance (χ2 value was 416.393, 26.277 and 564.367, respectively, all P<0.05).Conclusion Prenatal cardiac monitoring anomaly is closely related to the umbilical cord , amniotic fluid and neonatal outcomes , and it also affects delivery mode .Timely and effective diagnosis and treatment on anoxic damage of the fetus can reduce the incidence of neonatal asphyxia , and can improve prognosis with great significance .
