摘要
目的:探讨第一产程异常胎心监护图形的临床意义。方法:选自第一产程胎心监护图形异常的患者348例为观察组,367例第一产程胎心监护正常者为对照组。观察并比较两组间孕妇并发症及胎儿合并症的情况。结果:①电子胎心监护显示早期减速(ED)所占比例最高,为55.2%,然后依次为变异减速(VD)、晚期减速(LD)、心动过速、心动过缓、基线变异减弱及延长减速(PD)。②观察组中,伴有脐带绕颈及羊水量异常的患者分别占28.4%和10.3%,其比例均明显高于对照组,两组之间均有统计学差异(P<0.05)。③观察组中羊水粪染(Ⅱ-Ⅲ度),Apgar评分≤7分(出生1min),胎儿窘迫及剖宫产的比例均明显高于对照组,两组之间均有统计学差异(P<0.05)。结论:不同电子胎心监护异常图形有不同的临床意义,应该结合临床资料综合分析。
Objective：To investigate the clinical value of abnormal fetal heart rate monitoring graphics in first stage of labor.Method：348 patients with abnormal fetal heart rate monitoring graphics were chosen as the observation group,367 cases with normal graphics were chosen as the control.The complications of the pregnant women and fetal were compared.Results：1.In the abnormal graphics,ED accounted for 55.2%,followed by VD,LD,tachycardia,bradycardia,decreased baseline variability and PD.2.in the observation group,the ratio of nuchal cord and amniotic fluid abnormalities were 28.4% and 10.3%,they were higher than the control（P 0.05）.3.the ratio of stained amniotic fluid（Ⅱ-Ⅲ degree）,Apgar score≤7（born 1min）,fetal distress and cesarean section in the observation group were significantly higher than the control（P 0.05）.Conclusion：Different electronic fetal monitoring abnormalities graphics have different meanings,they should be comprehensive analyzed.
关键词
电子胎心监护
第一产程
胎儿窘迫
electronic fetal monitoring
first stage of labor
fetal distress
