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胎心监护在诊断胎儿窘迫中的应用 被引量:6

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摘要 目的:探讨胎心监护与胎儿窘迫及剖宫产之间的关系。方法:回顾1 575例住院分娩孕妇的胎心监护,发现图形异常者136例,其中74例考虑胎儿窘迫进行剖宫产术,术中发现有异常因素者55例,未发现异常19例。结果:胎心基线变异明显减弱或消失,重度变异减速及晚期减速者发生羊水粪染、脐带绕颈及新生儿窒息比例明显高于其他胎心监护图形异常者。结论:胎心监护能早期发现胎儿窘迫,但单凭胎心监护图形异常,作为胎儿窘迫诊断会出现假阳性判断,造成对产程不必要干预及剖宫产率上升。
作者 薛丹
出处 《吉林医学》 CAS 2012年第4期792-793,共2页 Jilin Medical Journal
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  • 1Umstad MP.The predictive value of abnormal fetal heart rate patterns in early labour.Aust N Z J Obstet Gynaecol,1993,33(2):145-149
  • 2National Institute of Child Health and Human Development Research Planning Workshop.Electronic fetal heart rate monitoring:research guidelines for interpretation.Am J Obstet Gynecol,1997,177(6):1385-1390
  • 3Freeman RK.Problems with intrapartum fetal heart rate monitoring interpretation and patient management.Obstet Gynecol,2002,100(4):813-826
  • 4Krebs HB,Petres RE,Dunn LJ,et al.Intrapartum fetal heart rate monitoring:Ⅲ.Association of meconium with abnormal fetal heart rate patterns.Am J Obstet Gynecol,1980,137(4):936-943
  • 5Seitchik J,Holden Ae,Castillo M.Spontaneous rupture of the membranes,functional dystocia,oxytocin treatment,and the route of delivery.Am J Obstet Gynecol,1987,156(1):125-130
  • 6Cardozo L,Pearce JM.Oxytocin in active-phase abnormalities of labor:a randomized study.Obstet Gynecol,1990,75(1):152-157

共引文献29

同被引文献38

  • 1严平,李慰玑.临产后胎心率护预测产时胎儿窘迫的应用[J].中华妇产科杂志,1993,28(4):217-219. 被引量:21
  • 2乐杰.妇产科学[M]北京:人民卫生出版社,2008135.
  • 3Lappas M, Yee K, Permezel M,et al. Release and regula- tion of leptin,resistin and adiponectin from human placenta, fetal membranes,and maternal adipose tissue and skeletal muscle from normal and gestational diabetes mellitus- complicated pregnancies [J]. J Endocrinol, 2005,186 ( 3 ) : 457-465.
  • 4Seeher AL,Ringholm L,Andersen HU,et al. The effect of real-time continuous glucose monitoring in pregnant women with diabetes:A randomized controlled trial[J]. Diabetes Care, 2013,36(7) : 1877-1883.
  • 5Kew S, Ye C, Sermer M, et al. Postpartum metabolic func- tion in women delivering a macrosomic infant in the ab- sence of gestational diabetes mellitus[J]. Diabetes Care, 2011,34(12) : 2608.
  • 6Reeee EA. The fetal and maternal consequences of ges- tational diabetes mellitus[J]. J Matern Fetal Neonatal Med, 2010,23(3) : 199.
  • 7EWendland EM,Torloni MR,Falavigna M,et al. Gesta- tional diabetes and pregnancy outcomes-a systematic re- view of the world health organization (WHO)and the in- ternational as-sociation of diabetes in pregnancy study groups (IADPSG)diagnostic criteria[J]. BMC Pregnancy Childbirth, 2012,31 (5) : 12-23.
  • 8杜少韵,陈映婷,刘俐.胎心电子监测分析预测胎儿窘迫的价值[J].中国医药导报,2008,5(30):57-58. 被引量:13
  • 9周佳玲,胡冬梅.胎心率基线变异减少或消失的临床意义[J].安徽卫生职业技术学院学报,2009,8(4):22-23. 被引量:3
  • 10谢米娜.胎心监护对胎儿窘迫的诊断价值[J].淮海医药,2010,28(2):140-141. 被引量:7

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