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目的探讨妊娠妇女孕晚期血糖水平对胎心监护评分的影响。方法对2010年3月至2012年5月来四川省人民医院城东病区待产的151例孕晚期妇女的临床资料进行回顾性分析。根据空腹血糖值水平将患者分为A组(46例)、B组(46例)、C组(59例),3组平均空腹血糖值分别为<6 mmol/L、<5 mmol/L、<4 mmol/L。采用Kreb氏评分法,对患者胎心率波动情况进行监测。结果无应激试验(non-stress test,NST)胎心监护评分A组无<9分者,B组<9分者23.91%,C组<9分者47.46%(P<0.05)。B、C组不同时间段餐后血糖水平及NST评分监测结果显示,NST评分随着餐后时间的延长、血糖水平下降逐渐降低(P<0.05)。结论妊娠晚期妇女血糖水平对胎心监护评分有较大影响,血糖水平越低,NST评分越低,母婴危险性越高,临床医生应正确对待胎心监护的评分,以提高母婴的安全性。
Objective To investigate the influence of the third trimester blood glucose level on the fetal heart rate monitoring in pregnant women. Methods From March 2010 to May 2012, 151 cases of third trimester women in Chengdong ward of Sichuan Provincial People’s Hospital were retrospectively analyzed. Patients were divided into group A (n = 46), group B (n = 46), group C (n = 59) according to the level of fasting blood glucose. The average fasting blood glucose values were 6 mmol / L and 5 mmol / <4 mmol / L. Kreb’s score was used to monitor the fetal heart rate fluctuations. Results In non-stress test (NST), the scores of FAM were lower than 9 in group A, 23.91% in group B <9 and 47.46% in group C <9 (P <0.05). The postprandial blood glucose levels and NST scores in groups B and C at different time points showed that the NST scores decreased gradually with the prolongation of postprandial hours (P <0.05). Conclusion The blood glucose level of late pregnancy has a significant impact on the fetal heart rate monitoring. The lower the blood glucose level, the lower the NST rate and the higher the risk of maternal and infant, clinicians should correctly treat the fetal heart rate monitoring to improve the safety of mother and baby Sex.