胎心监护时临床观察及护理

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目的:探讨连续胎心监护的临床效果,并对其进行相关护理,观察和研究护理的临床作用。方法选取在我院接诊的80例产妇为主要研究对象,采取随机性的方法,将患者分为两组,即观察组和对照组,每组有40例患者,其中使用胎儿多普勒诊断仪对对照组产妇胎心进行监测,观察组患者主要采用持续胎心监护的方法,并在此基础上对患者进行临床护理,对两组产妇在分娩过程中出现胎儿宫内窘迫及新生儿窒息的情况进行比较。结果在观察组中,胎儿宫内窘迫的发生率为20.0%,漏诊率为2.5%。对照组胎儿宫内窘迫的发生率为7.5%,漏诊率为12.5%。显然观察组出现胎儿宫内窘迫的发生率高于对照组,对照组产妇的漏诊率显著高于对照组,本组数据的比较差异具有统计学意义(P<0.05)。观察组新生儿Apgar评分显著高于对照组,组间比较差异具有统计学意义(P<0.05)。结论通过对产妇产时进行持续胎心监护,能够有效减少胎儿宫内缺氧情况的发生,对其进行临床护理,有利于提高患者的生活质量。“,”Objective To investigate the clinical effect of continuous fetal heart monitoring, and related to nursing, clinical effect observation and nursing research. Methods in 80 cases of pregnant women in our hospital as the main research object, adopt the method of random, the patients were divided into two groups, treatment group and control group, each group has 40 patients, including monitoring of the control group maternal fetal heart using fetal Doppler diagnostic instrument, the observation group of patients using continuous method fetal heart rate monitoring, and on the basis of clinical nursing, to compare the two groups of maternal fetal distress and neonatal asphyxia in the delivery process. Results in the observation group, incidence of fetal distress was 20%, the misdiagnosis rate was 2.5%. The control group of fetal distress incidence rate was 7.5%, the misdiagnosis rate was 12.5%. Obviously, the observation group of fetal distress incidence was higher than that of control group, the control group were misdiagnosis rate was significantly higher than the control group, there were statistically significant differences between the groups of data (P<0.05). The neonatal Apgar score in the observation group was significantly higher than the control group, the difference was statistically significant (P<0.05). Conclusion through continuous fetal monitoring of parturients, can effectively reduce the occurrence of fetal intrauterine hypoxia condition, clinical nursing care for it, is conducive to improve the quality of life of patients.
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