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目的观察胎心监护对足月单纯性羊水过少孕产妇妊娠结局的影响。方法选取足月单纯性羊水过少孕产妇80例作为观察组。另选同期正常足月单胎孕产妇80例作为对照组,2组均进行胎心监护,比较2组孕产妇分娩方式、妊娠结局及NST检测结果。结果观察组NST异常率57.5%、剖宫产率52.5%,均高于对照组(P<0.05)。2组均未出现围产儿死亡病例,观察组羊水Ⅱ度以上污染率25例(31.3%)、Apgar评分≤7分9例(11.3%),明显高于对照组的13例(16.3%)、4例(5.0%)(P<0.05)。结论胎心监护可降低围产儿病死率及新生儿窒息发生率,改善围产儿结局,提高分娩质量。
Objective To observe the effect of fetal heart rate monitoring on pregnancy outcome in term pure oligohydramnios. Methods 80 cases of term pure oligohydramnios were selected as the observation group. Another 80 pregnant women with normal term singleton fetus during the same period were selected as the control group. The fetus heart rate was monitored in both groups. The delivery mode, pregnancy outcome and NST test results were compared between the two groups. Results The abnormal rate of NST in observation group was 57.5% and the rate of cesarean section was 52.5%, which were all higher than those in control group (P <0.05). Perinatal mortality was not observed in both groups, 25% (31.3%) of the amniotic fluid were found in the observation group, 9 cases (11.3%) had the Apgar score less than 7 points, significantly higher than 13 cases (16.3%) in the control group, 4 cases (5.0%) (P <0.05). Conclusion Fetal heart monitoring can reduce perinatal mortality and neonatal asphyxia, improve perinatal outcomes and improve the quality of childbirth.