摘要
对临床上存在各种可疑宫内窘迫因素的１０８例孕妇在分娩前２４小时内用指压并向盆腔推动胎头的方法执行胎心率（ＦＨＲ）外监护，并对所出现的受激惹图型进行分析。观察到４种受激惹图型，在分娩后立即就监护时出现的波型、胎儿发育情况、脐带因素、羊水性状以及Ａｐｇａｎ评分等之间的关系作分析并就其临床价值加以讨论。Ⅰ型：５４例，提示胎儿应激状态良好；Ⅱ型：２４例，表示胎儿虽存在脐带受压因素但应激能力良好；Ⅲ型：２３例，显示胎头、颈部附近有脐带，但胎儿对脐带受牵拉之应答能力尚好；Ⅳ型：７例，提示胎儿健康状态或贮备功能较差，近乎失代偿。
To evaluate reserved status of fetus by compress head test.Method:Challenged waves of FHR external monitoring,which were present oneself due to the head of fetus by compressed and drived to the pelvic cavity of the puerpera,in l08 cases of any clinical suspicions fetal distress before birth within 24 hours were analyzed.Four challenged waves were observed.The relationship among the waves of monitor and the fetal growth,umbilical cord,nature of the amnionic fluid as well as Apgar score etc,immediately after dilivery were analyzed and the clinical significance were discussed.54 cases of Ⅰ type totally to show better irritability state of the fetus.24 cases of Ⅱtype,not only the fetus under the condition of compressed factor of the umbilical cord but respondent ability appeared to be better also.23 cases of Ⅲtype,there were umbilical cord to tie around fetal head and neck but respondent function of the fetus still well.7 cases of Ⅳ type suggest fetal status or reserved function were rather poor enough(or to be broken compensation).
出处
《天津医科大学学报》
1996年第2期56-58,共3页
Journal of Tianjin Medical University
关键词
胎儿
推压胎头
贮备功能
Challenged wave
Reserved function
Fetal distress
