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目的观察产时持续胎心监护的临床效果。方法选取2010年1月—2012年3月武进区湖塘镇鸣凰卫生院妇产科收治的产妇362例,将其随机分为对照组和观察组,各181例。对照组以胎儿多普勒听诊器监听胎心音,观察组给予产时持续胎心监护,观察两组产妇胎儿宫内窘迫和新生儿Apgar评分,同时比较两组产妇分娩方式。结果观察组胎儿宫内窘迫发生率高于对照组,但漏诊率及新生儿窒息发生率低于对照组(P<0.05)。两组阴道正常产、剖宫产及正常产率比较,差异均无统计学意义(P>0.05)。结论对产妇产时进行持续胎心监护可以及时有效地发现胎儿宫内窘迫情况,为分娩的实施提供临床依据,未增加产妇剖宫产率,同时降低了新生儿窒息发生率,值得临床推广。
Objective To observe the clinical effect of continuous fetal heart rate monitoring during labor. Methods From January 2010 to March 2012, 362 pregnant women were admitted to the Department of Obstetrics and Gynecology, Ming Huang Hospital, Hutang Town, Wujin District. The patients were randomly divided into control group and observation group, with 181 cases in each group. In the control group, fetus Doppler stethoscope was used to monitor the fetal heart sound. The observation group was given continuous fetal heart rate monitoring during delivery. The fetus fetal distress and neonatal Apgar score were observed in two groups. The mode of delivery was also compared between the two groups. Results The incidence of fetal distress in the observation group was higher than that in the control group, but the rate of misdiagnosis and neonatal asphyxia was lower than that of the control group (P <0.05). Two groups of normal vaginal birth, cesarean section and normal yield, the difference was not statistically significant (P> 0.05). Conclusion Continuous fetal heart rate monitoring during maternal delivery can find fetal distress in time and effectively, providing a clinical basis for the implementation of delivery, not increasing maternal cesarean section rate, and reducing the incidence of neonatal asphyxia, worthy of clinical promotion .