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5秒连续听诊是一种及时发现胎儿宫内窘迫的方法。对减少新生儿窒息、预测胎儿宫内缺氧、降低围产儿死亡及颅内出血,提高人口素质有重要意义。5秒听诊弥补了临床听诊时间短、不连贯,不能获得胎动、宫缩对胎心变化的信息。本资料300例5秒听诊同325例胎儿电子监护所得结果一致。两方法对胎儿健康预测率均达98.5％和98.8％,P>0.05;对预测胎儿状况不良、低Apgar评分、手术产及羊水粪染高,两方法无差异P>0.05。 5秒听诊与胎儿电子监护取得一致结果,因此在不能普及胎儿电子监护仪的广大农村、基层值得推广。
5 seconds continuous auscultation is a timely method to find fetal distress. To reduce neonatal asphyxia, fetal hypoxia, reduce perinatal death and intracranial hemorrhage, improve the quality of the population of great significance. Auscultation make up for 5 seconds auscultation time is short, inconsistent, can not get fetal movement, contractions of fetal heart rate changes. This data 300 cases of 5 seconds auscultation consistent with the results of 325 cases of fetal electronic monitoring. The predictive rates of fetal health were 98.5% and 98.8% for both methods, P> 0.05. There was no significant difference between the two methods in predicting poor fetal status, low Apgar score, surgical operation and amniotic fluid meningitis. 5 seconds auscultation and fetal electronic monitoring to achieve consistent results, so can not popularize fetal electronic monitor in the vast rural areas, grass-roots worth promoting.