CAJ | 학술논문

目的探究胎儿电子监测(NST)与羊水指数(AFI)测定联合监护妊娠对改善围产儿预后的临床价值.方法观察我院治疗的59例单胎延期妊娠孕妇与59例同期妊娠的临床资料,对59例产前胎儿电子监控结果与羊水指数(AFI)测定结果进行回顾性分析对比.结果正常孕妇组AFI和胎心监护指标均异常比例低于延期妊娠组(P<0.05),AFI≥8cm或胎儿检测正常者,其胎儿窘迫及低Apgar评分的发生率均低于AFI<8cm和胎儿检测指标异常者(P<0.05)；单项指标异常组胎儿窘迫及低Agpar评分均低于AFI和胎心监测两项指标异常者.结论与单项指标测定相比,胎儿电子检测与羊水指数测定联合监护延期妊娠更有效的提高临床诊断围产儿的预后.
목적탐구태인전자감측(NST)여양수지수(AFI)측정연합감호임신대개선위산인예후적림상개치.방법관찰아원치료적59례단태연기임신잉부여59례동기임신적림상자료,대59례산전태인전자감공결과여양수지수(AFI)측정결과진행회고성분석대비.결과정상잉부조AFI화태심감호지표균이상비례저우연기임신조(P<0.05),AFI≥8cm혹태인검측정상자,기태인군박급저Apgar평분적발생솔균저우AFI<8cm화태인검측지표이상자(P<0.05)；단항지표이상조태인군박급저Agpar평분균저우AFI화태심감측량항지표이상자.결론여단항지표측정상비,태인전자검측여양수지수측정연합감호연기임신경유효적제고림상진단위산인적예후.
Objectives:To explore fetal electronic monitoring's and amniotic fluid index measurement combined with guardianship delayed pregnancy's clinical value in the improvement of neonate's prognosis. Methods:Chose 59 cases of those single fetal extension pregnancy pregnant women and 59 cases of those normal pregnant women,observed their clinical data,retrospectively analysed and compared those 59 cases of women's prenatal fetal electronic monitoring results and amniotic fluid index measurement results.Results:Normal pregnant women group's AFI and cardiac monitoring index were abnormally lower than extension pregnancy group(p<0.05),AFI≥8cm or those patients whose fetal test was normal,their happening rates of fetal distress and low Apgar mark were lower than those women's(whose AFI<8cm and their fetal test index was abnormal),p<0.05;Single index anomaly group's fetal distress and low Apgar mark were lower than those pregnant women whose AFI index and cardiac monitoring index were abnormal.Conclusions:Compared with single index measurement,fetal electronic monitoring and amniotic fluid index measurement combined with guardianship delayed pregnancy can improve prognosis of neonate more effective.