论文部分内容阅读
目的:探讨孕妇胎心监护无负荷试验中V型减速与脐带、羊水及围生儿结局之间的关系。方法:回顾性分析2008年7月～2011年12月在桐庐县妇幼保健院分娩并进行胎心监护显示V型减速产妇78例,同时选择同期在该院进行自然分娩胎心监护未发生V型减速产妇75例作为对照组,收集两组产妇住院期间的临床资料,比较两组产妇分娩情况。结果:观察组产妇剖宫产率、胎儿窒息率、新生儿窒息发生率分别为34.2%、48.7%、14.5%,显著高于对照组18.7%、13.3%、7.7%,差异均具有统计学意义(P<0.05);观察组产妇胎儿脐带绕颈、脐带缠身、脐带扭转≥30周、脐带过短发生率均显著高于对照组(P<0.05);两组产妇羊水异常比较发现,观察组羊水过少、Ⅲ度羊水污染发生率分别为26.9%、17.9%,均显著高于对照组17.3%、8.0%,差异均具有统计学意义(P<0.05)。结论:临产前胎心监护无负荷试验中V型减速与脐带、羊水异常明显相关,对于这类产妇应严密监测,避免胎儿窒息的发生。
Objective: To investigate the relationship between V-shaped deceleration and umbilical cord, amniotic fluid and perinatal outcome in pregnant women without fetal heart rate monitoring. Methods: A retrospective analysis of July 2008 ~ December 2011 in Tonglu County Maternal and Child Health Hospital and fetal heart rate monitoring showed that 78 cases of V-decelerated maternal at the same time select the same period in the yard of natural childbirth fetal heart rate monitoring did not occur V-type 75 cases of maternal slowdown as a control group, collected during the hospitalization of two groups of maternal clinical data, maternal delivery was compared between the two groups. Results: The incidences of cesarean section, fetal asphyxia and neonatal asphyxia in observation group were 34.2%, 48.7% and 14.5% respectively, which were significantly higher than those in control group (18.7%, 13.3% and 7.7%, respectively) (P0.05) .The prevalence of umbilical cord wound around the neck and umbilical cord in the observation group was higher than that in the control group (P0.05) .While the observation group Oligohydramnios, Ⅲ degree amniotic fluid contamination rates were 26.9%, 17.9%, were significantly higher than the control group 17.3%, 8.0%, the difference was statistically significant (P <0.05). CONCLUSION: V-type deceleration during unloaded fetal heart rate monitoring before labor is obviously related to umbilical cord and amniotic fluid abnormality. Such mothers should be closely monitored to avoid the occurrence of fetal asphyxia.