目的：探讨胎心监护预测脐带异常的临床价值。方法：选择１０５２例病例中入院时未临产的单胎妊娠５２９例进行预测，于临产前和（或）临产后分别行胎心监护。以胎心监护基线变异跳跃型和（或）ＣＳＴ（ＯＣＴ）出现晚期减速或变异减速作为产前预测脐带异常的判断标准。并对比分析脐带正常与异常组的围产儿病率。结果：脐带异常的发生率为３３．６５％。脐带异常组胎儿窘迫、新生儿窒息及死亡的发生率明显高于脐带正常组。胎心监护预测脐带异常的阳性预测值、阴性预测值、敏感性、特异性、准确率分别为８９．８３％，８２．００％，５８．８９％，９６．５６％，８３．７４％。其中以跳跃型基线变异和变异减速的符合率较高，分别为９０．９１％和９３．８５％．结论：脐带异常对围产儿存在严重危害，应用胎心监护产前预测脐带异常有预测值和准确率高的特点。可作为临床预测脐带异常的方法 Objective: To investigate the clinical value of fetal heart rate monitoring in predicting umbilical cord abnormalities. Methods: A total of 529 cases of unmarried singleton pregnancies were enrolled in 1052 cases. The fetus was monitored before and / or after labor. Fetal heart monitoring baseline variant leapfrog and / or CST (OCT) late deceleration or mutation occurs as a prenatal prediction of umbilical cord abnormalities criteria. And comparative analysis of umbilical cord normal and abnormal group of perinatal morbidity. Results: The incidence of abnormal umbilical cord was 33.65%. The incidence of fetal distress, neonatal asphyxia and death in the abnormal umbilical cord group was significantly higher than that in the umbilical cord normal group. The positive predictive value, negative predictive value, sensitivity, specificity and accuracy of fetal heart monitoring in predicting umbilical cord abnormalities were 89.83%, 82.00%, 58.89%, 96.56% and 83.74%, respectively. Among them, the coincidence rate of jumping baseline mutation and mutation deceleration was higher, which were 90.91% and 93.85% respectively. Conclusion: Umbilical cord abnormalities have serious harm to perinatals. The prenatal prediction of umbilical cord abnormalities with fetal heart rate monitoring has the predictive value and high accuracy. Can be used as a clinical prediction of umbilical cord abnormalities