中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
5期
110-111
,共2页
胎儿监护%高危待产妇%异常图形
胎兒鑑護%高危待產婦%異常圖形
태인감호%고위대산부%이상도형
Fetal monitoring%High-risk expectant mother%Abnormal graphics
目的：探讨高危待产妇产前行电子胎儿监护的方法和意义。方法：选取笔者所在医院2010年6月-2014年6月经入院查体筛选的346例高危待产妇作为研究对象，均给予胎心监护无应激试验(NST)、宫缩激惹试验(CST)。观察产妇分娩方式及新生儿预后。结果：346例高危待产妇NST中反应型252例，无反应型62例，可疑型32例；252例中CST阴性234例，阳性12例，可疑性6例。346例剖宫产率为39.60%，新生儿Apgar评分1 min评分>7分占88.40%。阴性组产妇的剖宫产率明显低于阳性及可疑组，经阴分娩率明显高于阳性及可疑组，差异均有统计学意义(P<0.05)，且阴性组新生儿1 min阿普加评分、新生儿窒息发生率较阳性及可疑组比较差异均有明显统计学意义(P<0.05)。结论：对高危待产妇进行电子胎儿监护，可明显提高新生儿生存质量。
目的：探討高危待產婦產前行電子胎兒鑑護的方法和意義。方法：選取筆者所在醫院2010年6月-2014年6月經入院查體篩選的346例高危待產婦作為研究對象，均給予胎心鑑護無應激試驗(NST)、宮縮激惹試驗(CST)。觀察產婦分娩方式及新生兒預後。結果：346例高危待產婦NST中反應型252例，無反應型62例，可疑型32例；252例中CST陰性234例，暘性12例，可疑性6例。346例剖宮產率為39.60%，新生兒Apgar評分1 min評分>7分佔88.40%。陰性組產婦的剖宮產率明顯低于暘性及可疑組，經陰分娩率明顯高于暘性及可疑組，差異均有統計學意義(P<0.05)，且陰性組新生兒1 min阿普加評分、新生兒窒息髮生率較暘性及可疑組比較差異均有明顯統計學意義(P<0.05)。結論：對高危待產婦進行電子胎兒鑑護，可明顯提高新生兒生存質量。
목적：탐토고위대산부산전행전자태인감호적방법화의의。방법：선취필자소재의원2010년6월-2014년6월경입원사체사선적346례고위대산부작위연구대상，균급여태심감호무응격시험(NST)、궁축격야시험(CST)。관찰산부분면방식급신생인예후。결과：346례고위대산부NST중반응형252례，무반응형62례，가의형32례；252례중CST음성234례，양성12례，가의성6례。346례부궁산솔위39.60%，신생인Apgar평분1 min평분>7분점88.40%。음성조산부적부궁산솔명현저우양성급가의조，경음분면솔명현고우양성급가의조，차이균유통계학의의(P<0.05)，차음성조신생인1 min아보가평분、신생인질식발생솔교양성급가의조비교차이균유명현통계학의의(P<0.05)。결론：대고위대산부진행전자태인감호，가명현제고신생인생존질량。
Objective:To investigate the methods and significance of fetal heart monitoring for high-risk expectant mothers.Method:346 high-risk expectant mothers via physical examination in our hospital from June 2010 to June 2014 were selected as research objects,and they were given fetal heart monitoring,including non-stress test(NST) and contractions irritability test(CST).The methods of delivery and neonatal prognosis were observed. Result:In the 346 cases about the NST,252 cases were reactive and 62 cases were unreactive,32 cases were seemed as suspected type.We tested CST for 252 patients,234 cases of them were negative and 12 cases were positive,6 cases were seemed as suspected type.In the 346 cases,cesarean section rate were 39.60%,one-minute Apgar score>7 accounted for 88.40%.The cesarean section rate of maternal in the negative group was significantly lower than the positive and suspected group,and the vaginal delivery rate of maternal in the negative group was significantly higher than the positive and suspected group,the differences were statistically significant(P<0.05).There were significant differences between the two groups in newborn Apgar score of 1 min and the incidence of neonatal asphyxia(P<0.05).Conclusion:Fetal heart monitoring for high-risk expectant mothers can obviously improve the quality of life for the newborn survival.
