摘要
目的探究妊娠期高血压孕妇产程胎心监护的必要性，并研究胎心监护中异常图形与妊娠结局的相关性。方法选取本院在2014年1月至2015年6月期间定期孕检的400例妊娠高血压孕妇，所有孕妇均为单胎初妊娠。根据有无胎心监护分为胎心监护组（n=212）和无胎心监护组（n=188），对比分析两组孕妇妊娠结局。另从行胎心监护的212例患者中根据NICHD和ACOG所制定的胎心监护三级分类系统将患者分为Ⅰ类图形的对照组以及Ⅱ、Ⅲ类图形的研究组，其中对照组90例，研究组122例，对比分析两组患者妊娠结局。结果胎心监护组孕产妇发生产后出血、脐带异常、过期妊娠、胎膜早破、羊水过少、羊水过多及产褥感染等妊娠及分娩并发症概率均低于无胎心监护组，差异均有统计学意义（均P〈0．05）；胎心监护组顺产率高于无胎心监护组；胎心监护组剖宫产率、死胎率、新生儿窒息、新生儿窘迫及新生儿NICU均低于无胎心监护组，差异均有统计学意义（均P〈0．05）；两组妊娠产妇产钳助产率比较差异无统计学意义（P〉0．05）；图像异常的研究组患者顺产率和产钳助产率均明显低于图像正常的对照组，差异均有统计学意义（均P〈0．05）；研究组的剖宫产率、死胎率、新生儿窒息、新生儿窘迫及新生儿NICU均明显高于对照组，差异均有统计学意义（均P〈0．05）。结论妊娠高血压孕妇产程行胎心监护有利于生产过程的监护与预防，尤其是通过异常图形的判读有利于改善妊娠结局，对提高新生儿和产妇的存活率具有重要意义。
Objective To explore the necessity of fetal heart rate monitoring in the labor of women with pregnancy-induced hypertension and the correlation between abnormal graphics and pregnancy outcome. Methods 400 cases of maternal pregnancy-induced hypertension undertaking antenatal examination at our hospital from January, 2014 to June, 2015 were selected and all pregnant women were single early pregnant. The women were randomly divided into a fetal heart rate monitoring group （n = 212） and a no fetal heart rate monitoring group （n = 188）; the pregnancy outcomes of the two groups were comparatively analyzed. According to three fetal heart rate monitoring system developed by NICHD and ACOG, the fetal heart rate monitoring group were divided into a control group （class I graphics, n=90）and a study group （class II and III graphics, n=122）; the pregnancy outcomes of the two groups were comparatively analyzed. Results The probabilities occurring postpartum hemorrhage, umbilical cord abnormalities, prolonged pregnancy, premature rupture of membranes, oligohydramnios, polyhydramnios, pregnancy of puerperal infection, and childbirth complications, the cesarean section rate, the stillbirth rate, and the incidences of neonatal asphyxia, neonatal distress, and neonatal NICU were lower and the vaginal delivery rate was higher in the fetal heart rate monitoring group than in the no fetal heart rate monitoring group, with statistical differences （all P 〈 0.05）; there was no statistical difference in forceps delivery rate between these two groups （P 〉 0.05）. The natural rate and forceps delivery rate were lower and the the cesarean section rate, the stillbirth rate, and the incidences of neonatal asphyxia, neonatal distress, and neonatal NICU were higher in the study group than in the control group, with statistical differences （P 〈 0.05）. Conclusions Fetal heart rate monitoring in the labor of women with pregnancy-induced hypertension is be beneficial to monitoring and preventive care in the production process; especially, abnormal graphics interpretation will help improve pregnancy outcomes and is important to improve the survival rate of maternal patients and newborns.
出处
《国际医药卫生导报》
2017年第7期1003-1005,共3页
International Medicine and Health Guidance News
关键词
妊娠期
高血压
胎心监护
异常图形
妊娠结局
Pregnancy
Hypertension
Fetal heart rate monitoring
Abnormal graphics
Pregnancyoutcome
