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目的 :探讨胎心入室试验对预测新生儿宫内窘迫预后的价值。方法 :对 578例临产孕妇进行胎心入室试验 ,记录产程、分娩方式、羊水、脐带及胎盘情况和新生儿Apgar评分。结果 :578例孕妇中 ,入室试验反应型、可疑型和危险型分别占 77 1 6%、 1 0 38%、1 2 46% ;总新生儿窒息率为 6 75% ,反应型组窒息率为 2 2 4 % ,危险型组为 33 33%。羊水污染率反应型组为 1 7 0 4 % ,危险型组为 68 0 6% ,两组间差异显著 (P <0 0 1 )。结论 :胎心入室试验可预测胎儿预后 ,是产时简单经济的筛查方法。
Objective: To investigate the value of fetal heart rate test in predicting prognosis of neonatal distress. Methods: 578 pregnant women with labor were tested for fetal heart rate, and the birth course, mode of delivery, amniotic fluid, umbilical cord and placenta and neonatal Apgar score were recorded. Results: Among 578 pregnant women, 77.1 6%, 108% and 122 46% of the pregnant women were admitted into the laboratory. The total newborn asphyxia rate was 6 75%. The asphyxia rate was 22.4%, 33 33% in the risk group. Amniotic fluid contamination was 170.4% in response group and 68.0% in risk group, with significant difference between the two groups (P <0.01). Conclusion: Fetal heart rate test can predict the prognosis of fetus, which is a simple and economical screening method during labor.