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目的:分析胎心监护对胎儿窘迫诊断的临床价值。方法:选取本院2016年1月至2017年1月收治的胎心监护异常的孕妇100例作为观察组,选取医院同期接诊的胎心监护正常的孕妇作为对照组,对比两组孕妇宫内窘迫以及新生儿窒息的发生率,同时对比造成胎儿窘迫的危险因素。结果:观察组产妇胎儿窘迫的发生率为41%,新生儿窒息率为11%,对照组为8%、3%,对比差异显著,具有统计学意义(P<0.05)。观察组存在胎儿窘迫的危险因素发生率为66%,对照组为38%,对比差异显著,具有统计学意义(P<0.05)。结论:胎心监护在早期诊断胎儿窘迫的诊断中有重要价值,但是,由于胎心监护在诊断胎儿宫内窘迫时的假阳性率较高,假阴性率较低,在诊断过程中还应联合多种方法进行监护,提高诊断的准确率。
Objective: To analyze the clinical value of fetal heart monitoring in the diagnosis of fetal distress. Methods: A total of 100 pregnant women with fetal monitoring abnormalities admitted from January 2016 to January 2017 in our hospital were selected as the observation group. Pregnant women with normal fetal heart rate monitoring during the same period of hospital admission were selected as the control group. Distress and the incidence of neonatal asphyxia, while comparing the risk factors for fetal distress. Results: In the observation group, the incidence of fetal distress was 41%, neonatal asphyxia was 11% and that of the control group was 8% and 3% respectively. The difference was significant and statistically significant (P <0.05). The incidence of fetal distress was 66% in the observation group and 38% in the control group, with significant difference (P <0.05). CONCLUSION: Fetal heart monitoring is of great value in the early diagnosis of fetal distress. However, due to the high false positive rate and low false negative rate in the diagnosis of fetal distress, the fetal heart rate monitoring should be combined A variety of methods for monitoring, improve diagnostic accuracy.