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目的:探讨胎心内外监护图形满意率的差异及胎心内监护在产时的应用价值。方法:对56例孕妇在第一产程活跃期和第二产程同时行胎心外监护和内监护,对胎心监护图形进行分类,比较胎心监护图形的满意率。结果:第一产程胎心外和胎心内监护的图形满意率分别为94.6%和98.2%,两者无显著差异(χ2=0.259,P=0.611);第二产程胎心外和胎心内监护的图形满意率分别为42.3%和86.5%,两者差异显著(χ2=22.193,P=0.000)。外监护中10例(17.9%)出现假性图形。56例产妇的剖宫产率为7.14%,无1例出现新生儿窒息、胎儿头皮损伤血肿及产褥感染。结论:胎心内监护是胎心外监护的一项安全有效的补充。
Objective: To investigate the difference of satisfactory rate of fetal heart rate monitor and fetal heart rate monitor during labor. Methods: Fifty-six pregnant women performed fetal heartbeat monitoring and internal monitoring simultaneously during the active stage of the first stage of labor and the second stage of labor. The fetal heart rate monitoring charts were classified and the satisfaction rate of fetal heart rate monitoring charts was compared. Results: The satisfaction rates of fetal heart rate and fetal heart rate in the first stage of labor were 94.6% and 98.2% respectively, with no significant difference (χ2 = 0.259, P = 0.611). The second and third trimester fetal heart rate The satisfaction rate of the guardianship was 42.3% and 86.5% respectively, with significant difference (χ2 = 22.193, P = 0.000). 10 cases (17.9%) in external monitoring showed a false graph. 56 cases of maternal cesarean section rate was 7.14%, no one case of neonatal asphyxia, fetal scalp injury hematoma and puerperal infection. CONCLUSIONS: Fetal heart monitoring is a safe and effective supplement to fetal Fetal Monitoring.