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目的探讨产时使用连续性胎心监护联合脐动脉血气分析在评估围生期窒息的临床应用。方法随机选取2011年1月至2012年12月在我院住院并进入产房待产的孕产妇140例为研究对象,分为两组:胎心监护正常的58例为对照组,胎心监护异常的82例为观察组,比较两组孕产妇产时脐动脉血气分析及分析在评价围生期窒息中胎心监护、脐动脉血气分析、Apgar评分三者之间的关系。结果①观察组的脐动脉血气分析的PH值明显低于对照组(P<0.05)。②随着PH值的下降,Apgar低评分增多,新生儿窒息发生率增高,而且产时胎心监测异常发生率也增高。结论胎心监护对预测胎儿窘迫有重大意义,联合脐动脉血气分析能为产前验证,准确评估、诊治围生期窒息及其预后提供有力依据。
Objective To investigate the clinical application of continuous fetal heart rate monitoring combined with umbilical arterial blood gas analysis in the assessment of perinatal asphyxia. Methods A total of 140 pregnant women admitted to our hospital from January 2011 to December 2012 were enrolled in this study. The subjects were divided into two groups: 58 cases with normal fetal heart monitoring as control group, abnormal fetal heart rate monitoring 82 cases as observation group. The relationship between umbilical arterial blood gas analysis and analysis in two groups during the evaluation of perinatal asphyxia fetal heart rate monitoring, umbilical arterial blood gas analysis, Apgar score between the three. Results ① In the observation group, the PH value of umbilical arterial blood gas analysis was significantly lower than that of the control group (P <0.05). ② With the decrease of PH value, Apgar low score increased, the incidence of neonatal asphyxia increased, and the incidence of abnormal fetal heart rate monitoring also increased. Conclusion Fetal heart monitoring is of great significance in predicting fetal distress. Combined umbilical arterial blood gas analysis can provide a valid basis for prenatal verification, accurate assessment, diagnosis and treatment of perinatal asphyxia and its prognosis.