128例正常孕妇胎心监护为可疑型的临床结局分析

发布时间：2018-05-25 02:24

本文选题：胎心监护 + 可疑型　；参考：《现代妇产科进展》2017年02期

【摘要】：目的:探讨正常孕妇胎心监护为可疑型的围产结局,进一步提高围生期医疗质量。方法:2012年1月至2015年12月就诊于泰安市中心医院且母婴监护为可疑型的正常孕妇128例,其中56例经吸氧及饮食等处理后再次复查后未得到明显改善(A组),72例经上述处理后再次复查为正常胎心监护(B组)。随机选取同期就诊的胎心监护正常的120例孕妇为对照组(C组)。分析3组的分娩方式、羊水、脐带及新生儿等情况。结果:A组的脐带异常、羊水量异常及羊水粪染的发生率均高于B、C组,差异有统计学意义(P0.05);后两组比较差异均无统计学意义(P0.05)。A组的新生儿出生后1分钟Apgar评分及新生儿平均体重均低于B、C组,且新生儿窒息发生率高于B、C组,差异有统计学意义(P0.05),而B、C组之间无统计学差异(P0.05)。A组经阴分娩所占比例低于B、C组,有剖宫产指征的剖宫产率均高于B、C组,终止妊娠的孕周低于B、C组,差异均有统计学意义(P0.05);B、C组比较差异无统计学意义(P0.05)。结论:正常孕妇胎心监护为可疑型提示存在有羊水及及脐带异常,同时提示胎儿处于危险状态,应引起临床上的重视。
[Abstract]:Objective: to explore the perinatal outcome of fetal heart monitoring in normal pregnant women and to improve the perinatal medical quality. Methods: from January 2012 to December 2015, 128 cases of normal pregnant women with suspicious maternal and child care were admitted to Tai'an Central Hospital. Among them, 56 cases were treated with oxygen and diet, and 72 cases in group A were reexamined as normal fetal heart monitoring group B after repeated reexamination. 120 pregnant women with normal fetal heart monitoring were randomly selected as control group. Methods of delivery, amniotic fluid, umbilical cord and newborn were analyzed. Results the incidence of umbilical cord abnormalities, amniotic fluid abnormalities and feces staining of amniotic fluid in group A was higher than that in group B (C). There was no significant difference between the latter two groups in Apgar score and average weight of newborn at 1 minute after birth, and the incidence of neonatal asphyxia was higher than that in BPC group, and the incidence of neonatal asphyxia in group A was higher than that in group B (P 0.05), and the average weight of newborn in group A was lower than that in group B (P 0.05). The difference was statistically significant (P 0.05), but there was no statistical difference between group B (P 0.05) and group A (P 0.05). The rate of cesarean section with indications of cesarean section was higher than that of group B (C), and the gestational week of termination of pregnancy was lower than that of group B (C), and the rate of cesarean section with indications of cesarean section was higher than that of group B (C). All the differences were statistically significant. There was no significant difference in group C (P 0.05). Conclusion: the abnormal amniotic fluid and umbilical cord in normal pregnant women with suspicious fetal heart monitoring should be paid more attention in clinic.
【作者单位】：泰安市中心医院产科;
【分类号】：R714.5

【相似文献】