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目的探究胎心监护在围产期的临床应用价值。方法选取2012年4月至2014年3月期间来我院的孕妇582例,随机分成两组,观察组采用产前无应激胎心监护(NST),产时电子胎心监护,对照组采用传统胎心听诊诊断,对比分析这两种监测方法的诊断正确率。结果两组孕妇的基本资料无明显差异(P>0.05)。观察组的剖宫产率和胎儿宫内窘迫诊断率均大于对照组,具有明显差异(P<0.05),观察组新生儿窒息率显著小于对照组,有统计学差异(P<0.05)。观察组围产儿死亡率为0,对照组有2(0.69%)例死亡,两组死亡率相比无显著差异(P=0.157)。291例观察组孕妇NST诊断结果显示,有反应型225例,占77.32%;可疑型45例,占15.46%;无反应型21,占7.22%。无反应型孕妇的胎儿窘迫、新生儿窒息、脐带异常的发生率均明显高于有反应型孕妇的发生率,差异具有统计学意义(P<0.05)。结论产前无应激胎心监护和产时电子胎心监护能够准确的诊断孕妇宫内异常,降低新生儿窒息,提高新生儿质量。与传统听诊胎心诊断相比,其准确性更高,适合临床使用。
Objective To investigate the clinical value of fetal heart monitoring in perinatal period. Methods 582 pregnant women who came to our hospital from April 2012 to March 2014 were randomly divided into two groups. The prenatal stress-free fetal heart rate monitoring (NST), labor-time electronic fetal heart rate monitoring and the control group The traditional fetal heart auscultation diagnosis, comparative analysis of the diagnostic accuracy of these two monitoring methods. Results The basic data of two groups of pregnant women had no significant difference (P> 0.05). The rate of cesarean section and fetal distress in the observation group were significantly higher than those in the control group (P <0.05). The rate of neonatal asphyxia in the observation group was significantly lower than that in the control group (P <0.05). Perinatal mortality was 0 in the observation group and 2 (0.69%) in the control group, with no significant difference between the two groups (P = 0.157). The results of NST in 291 cases of observation group showed that there were 225 cases of reaction type, accounting for 77.32%; 45 cases of suspected type, accounting for 15.46%; and 21 cases of non-reaction type, accounting for 7.22%. The incidences of fetal distress, neonatal asphyxia and umbilical cord abnormality in nonresponsive pregnant women were significantly higher than those in reactive pregnant women, the difference was statistically significant (P <0.05). Conclusion Prenatal stress-free fetal heart rate monitoring and labor-time electronic fetal heart rate monitoring can accurately diagnose intrauterine abnormalities in pregnant women, reduce neonatal asphyxia and improve neonatal quality. Compared with traditional auscultation fetal heart rate diagnosis, its accuracy is higher, suitable for clinical use.