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目的探讨脐血流S/D联合胎心监护对预测围生儿结局的价值。方法 332例有胎儿脐动脉血流异常的孕妇作为脐血异常组,300例脐动脉血流正常的孕妇作为正常对照组,对两组孕妇进行胎儿脐动脉收缩期血流峰值与舒张末期血流速度的比值(S/D值)的监测及胎心监测,观察S/D与预测围生儿结局的关系。结果脐血异常组围生儿羊水污染、羊水过少、新生儿缺氧窒息率明显高于正常对照组,差异有统计学意义(χ2=9.8215、14.7169、11.0533,P<0.05)。结论在胎儿脐动脉血流监测的同时进行胎心监测能够提高对围生儿结局预测的准确率,避免单个方法监测的缺陷,可以尽早及时地诊断出胎儿窘迫,进行合理的治疗,降低新生儿的死亡率。
Objective To investigate the value of cord blood flow S / D combined with fetal heart rate monitoring in predicting perinatal outcome. Methods A total of 332 pregnant women with fetal umbilical arterial blood flow abnormalities were enrolled in this study. 300 pregnant women with normal umbilical artery blood flow were selected as normal control group. The peak umbilical artery systolic blood flow and end-diastolic blood flow Speed ratio (S / D value) monitoring and fetal heart rate monitoring, observation of S / D and predict the relationship between perinatal outcome. Results In the umbilical cord blood group, the amniotic fluid contamination and oligohydramnios in perinatal infants were significantly higher than those in the normal control group (χ2 = 9.8215, 14.7169, 11.0533, P <0.05). Conclusion Fetal heart monitoring can improve the accuracy of predicting perinatal outcome while avoiding fetal flaw monitoring. It can diagnose the fetal distress promptly and promptly and make reasonable treatment to reduce neonatal The mortality rate.