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目的:探讨胎心监测联合脐血流S/D检测对胎儿窘迫的预测价值。方法:选择2011年4月-2016年4月我院的100例足月孕妇,将其分为对照组和观察组,每组50例。对照组采用胎心监测,观察组采用胎心监测联合脐血流S/D检测的方式,对两组胎儿窘迫发生率、新生儿不良结局发生率进行比较。结果:在本研究中,观察组胎儿窘迫发生率明显高于对照组,差异有统计学意义(P<0.05)。观察组羊水污染发生率为44.0%,明显高于对照组的22.0%,差异具有统计学意义(P<0.05)。结论:在产科临床上,采用胎心监测联合脐血流S/D检测能够尽早发现胎儿窘迫情况,有助于及时干预治疗,从而改善新生儿不良结局发生率,值得在临床上推广应用。
Objective: To investigate the predictive value of fetal heart rate monitoring combined with umbilical cord blood flow S / D for fetal distress. Methods: From April 2011 to April 2016, 100 full-term pregnant women in our hospital were divided into control group and observation group, 50 cases in each group. Fetal heart monitoring was used in the control group. Fetal heart monitoring combined with S / D detection of umbilical cord blood flow in the observation group was used to compare the incidence of fetal distress and neonatal adverse outcomes in the two groups. Results: In this study, the incidence of fetal distress in the observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). The incidence of amniotic fluid contamination in observation group was 44.0%, which was significantly higher than that in control group (22.0%), the difference was statistically significant (P <0.05). Conclusion: In obstetrics and gynecology, using fetal heart rate monitoring combined with S / D detection of umbilical cord blood can detect fetal distress as soon as possible, which will be helpful to timely intervention treatment, so as to improve the incidence of neonatal adverse outcomes. It is worth popularizing and applying in clinic.