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分娩过程中胎儿监护的目的是尽早发现胎儿宫内缺氧、酸中毒等危险状态及时处理，最大限度地保证胎儿的安全，同时降低不必要的手术干扰。现代胎儿监护技术经历了听诊、胎心监护、胎儿血液分析等过程，使分娩时胎儿死亡率大幅度下降，近年来一种新的监护方法一脉冲式血氧定量计测量胎儿血氧饱和度开始应用于临床。本文对胎心率监护、羊膜镜、胎儿血气分析和脉冲血氧定量计监测这4种目前分娩过程中胎儿监护的方法、指征、判定方法及优缺点作了介绍。
The purpose of fetal monitoring during childbirth is to find early fetal status of hypoxia, acidosis and other dangerous conditions in a timely manner to maximize the safety of the fetus, while reducing unnecessary surgical interference. Modern fetal monitoring technology has undergone auscultation, fetal heart monitoring, fetal blood analysis and other processes, so that childbirth fetal mortality rate dropped significantly in recent years, a new monitoring method a pulse oximeter to measure fetal blood oxygen saturation began Applied to clinical. This article describes the methods, indications, determination methods, advantages and disadvantages of four kinds of fetus monitoring in the process of delivery, including fetus heart rate monitoring, amniogram, fetal blood gas analysis and pulse oximeter.