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目的利用脐血分析探讨胎心监护在围生期窒息诊断中的价值。方法取98例异常图形的胎心监护为研究组和112例正常图形的胎心监护为对照组,两组均以剖宫产结束分娩,术中抽脐血送血气分析,记录其结果与胎儿窘迫相关因素综合分析。结果胎心监护异常组脐血pH<7.20明显增多,低Apgar评分例数明显增多。结论胎心监护可以提高围生期窒息的诊断率。
Objective To explore the value of fetal heart monitoring in the diagnosis of perinatal asphyxia by using cord blood analysis. Methods Fetal heart monitoring of 98 cases of abnormal pattern was taken as the study group and 112 cases of normal fetal heart rate monitoring as the control group. Both groups were delivered by cesarean section. Blood samples were collected by cord blood during operation. The results were compared with those of the fetus Comprehensive analysis of distress related factors. Results Abnormal fetal heart rate monitoring group of umbilical cord blood pH <7.20 increased significantly, low Apgar score cases increased significantly. Conclusion Fetal heart monitoring can improve the diagnostic rate of perinatal asphyxia.