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本文对217例产前及产时胎心率监护的临床资料进行了评价,认为无刺激试验是一种有效的产前监护方法,操作简便,易于重复应用,且可立时得出孕期胎儿健康状况的可靠信息。临产监护时、晚期减速或可变减速的持续出现及在某些病例中胎心率变异性的消失,往往提示有子宫胎盘供血不足和/或脐带并发症所致的急性胎儿宫内窘迫的存在,因而有助于临床医生作出适时终止妊娠的决断。本文脐带并发症发生率达26.1%,但只在不足半数病例中,于产时可见到异常减速波型,而此类波型在宫口开大6厘米以上者可达90%.TFJ-Ⅱ型配有多路装置,可同时监听3个产妇的胎心音和选择性描记胎心率和宫缩曲线,费用省,便于中心监护,故值得进一步推广。
In this paper, 217 cases of prenatal and intrapartum fetal heart rate monitoring of clinical data were evaluated that no stimulation test is an effective prenatal care method, easy to operate, easy to repeat the application, and can be obtained immediately fetal health status during pregnancy Reliable information. Persistent guardianship, the persistence of late deceleration or variable deceleration and, in some cases, the disappearance of fetal heart rate variability often indicate the presence of uterine placental insufficiency and / or acute fetal distress associated with umbilical cord complications , Which will help clinicians make a timely decision to terminate the pregnancy. In this paper, the incidence of umbilical cord complications was 26.1%, but only in less than half of cases, abnormal deceleration patterns can be seen in the delivery, and such wave patterns in the cervix open more than 6 cm up to 90% .TFJ-Ⅱ With a multi-channel device that can simultaneously monitor three maternal fetal heart sounds and selective tracing fetal heart rate and contractions curve, the provincial cost, easy to central guard, it is worth further promotion.