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目的:探索胎儿心电图(FECG)与无应激实验(NST)联合应用在预测胎膜早破患者胎儿宫内窘迫中的作用。方法:选取嘉兴市妇幼保健院2013年1月~2013年12月因胎儿宫内窘迫而行剖宫产手术终止妊娠的73例患者为研究对象,其中34例胎膜早破患者为研究组,39例孕期产检无胎膜早破患者为对照组。回顾性分析相应的临床资料,比较两组患者的临床转归及新生儿结局。结果:所有入选病例NST均为无反应型,研究组检出FECG异常6例,其中术后证实胎儿宫内窘迫3例;对照组未检出FECG异常。与NST单一监测结果相比,NST与FECG联合应用较大地提高了判断胎儿宫内窘迫的特异度。结论:FECG与NST联合应用能提高预测胎膜早破患者胎儿宫内窘迫的准确性。
Objective: To explore the combined effect of fetal electrocardiogram (FECG) and non-stress test (NST) in predicting fetal distress in patients with premature rupture of membranes. METHODS: A total of 73 patients with cesarean section termination of pregnancy due to fetal distress were selected as the study subjects from January 2013 to December 2013 in Jiaxing Maternal and Child Health Hospital. Among them, 34 cases of premature rupture of membranes were study group, 39 cases of pregnancy without premature rupture of membranes in patients with control group. The corresponding clinical data were retrospectively analyzed. The clinical outcome and neonatal outcome were compared between the two groups. Results: All cases were NST nonresponders, the study group detected 6 cases of FECG abnormalities, of which 3 cases of fetal distress after operation confirmed; the control group did not detect abnormal FECG. Compared with the single monitoring results of NST, the combination of NST and FECG greatly improves the specificity of judging fetal distress. Conclusion: The combination of FECG and NST can improve the accuracy of predicting fetal distress in patients with premature rupture of membranes.