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目的分析胎心监护异常图形和新生儿结局之间的关系,为采取合理的分娩干预措施提供较为可靠的临床参考依据。方法对2009年3月至2010年7月期间我科室153例产妇行胎心监护,对比分析对照组(胎心图形正常)与观察组(胎心图形异常)的分娩情况、新生儿结局。结果观察组有23例分娩后约1min的新生儿评分≤7分,约占31.08%;显著高于对照组(6.33%),两组差异有统计学意义(P<0.05)。观察组剖宫产率(60.81%)显著高于对照组(17.72%),两组比较差异性显著(P<0.05),具有统计学意义;观察组产妇羊水粪染率约为43.24%,对照组产妇羊水粪染率约为8.86%,两组比较差异性显著(P<0.05),具有统计学意义。结论通过采取胎心监护,合理认识胎心异常图形,选取恰当的分娩方式,及时有效的处理胎儿窘迫,对于降低剖宫产率及新生儿窒息发生率,改善新生儿结局有着十分重要的临床意义。
Objective To analyze the relationship between abnormal fetal heart rate monitoring and neonatal outcomes and to provide a more reliable clinical reference for rational delivery interventions. Methods From March 2009 to July 2010, 153 cases of fetus in our department were performed fetal heart monitoring. The delivery and neonatal outcome of the control group (normal fetal heart rate graph) and observation group (abnormal fetal heart rate graph) were compared and analyzed. Results In the observation group, 23 newborns (≤10 points) were found in about 1 minute after delivery, accounting for 31.08%, significantly higher than the control group (6.33%). There was significant difference between the two groups (P <0.05). The cesarean section rate in the observation group (60.81%) was significantly higher than that in the control group (17.72%), the difference was significant (P <0.05) between the two groups, with statistical significance; the observation group was 43.24% Group maternal amniotic fluid dye rate was about 8.86%, the two groups were significantly different (P <0.05), with statistical significance. Conclusions It is of great clinical significance to reduce the incidence of cesarean section and neonatal asphyxia and improve neonatal outcome through fetus heart monitoring, reasonable understanding of abnormal fetal heart rate graph, proper delivery mode and timely and effective treatment of fetal distress .