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目的:探讨胎心监护预测脐带缠绕的临床价值。方法:选择786例病例中入院时未临产的单胎妊娠509例进行临产前胎心监护来预测脐带缠绕。结果:脐带缠绕占脐带异常的39.5％,脐带缠绕多以变异减速(VD)表现,占监护例数的31.0％。行胎心监护和未行胎心监护的病例比较,死胎死产的发生率明显降低。结论:脐带缠绕对围产儿存在严重危害,应用胎心监护前预测能对新生儿提供最大的安全保障。
Objective: To investigate the clinical value of fetal heart rate monitoring in predicting umbilical cord entanglement. METHODS: Fifty-eight singleton pregnancies without admission at admission during pregnancy were enrolled to predict umbilical cord entanglement. Results: Umbilical cord entanglement accounted for 39.5% of umbilical cord abnormalities. Umbilical cord entanglement was mostly manifested by degeneration (VD), accounting for 31.0% of the number of custody cases. Fetal heart monitoring and fetus monitoring cases did not compare, the incidence of stillbirth declines significantly reduced. Conclusion: Umbilical cord entanglement has serious harm to perinatal fetus. Predictors of fetal heart rate can provide the greatest safety guarantee for neonates.