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目的:为在基层医院更好地推广、选择和运用无创伤胎儿监测技术,进一步改善围产儿预后、降低围产儿死亡率提供理论依据.方法:该文对国内开展较多的9种无创伤胎儿监测参数:孕妇自数胎动(FM)、胎儿胎心电子监护(NST、CST、OCT)、生物物理评分(BPS)、脐动脉血流图(脐S/D)、羊水指数(AFI)、胎儿心电图(FECG)、尿雌三醇/肌酐比值(尿E/C)对围产儿结局预测进行研究和综合评价.结果:提示单参数异常的阳性预测率为52.40％,其中以S/D(84.21％)、NST(78.57％)、CST(73.56％)、OCT(67.64％)的阳性预测率较高,多参数联合监测的阳性预测率明显提高,2项参数异常的阳性预测率为(82.17％),3项参数异常的阳性预测率为93.33％.多参数与单参数监测阳性预测率比较差异有显著意义.结论:严密的临床观察、辅以多参数无创伤贻儿监护和及时、正确的处理,是改善围产儿结局的重要环节.“,”Objective: To provide theoretical basis for basie level hospitals to generalize, chooseand apply the techniques of non - intervene fetal monitor better, to further improve perinatal fetus progno-sis and decrease perinatal fetus mortality - rate. Methods: To study and synthetically evaluate the value ofmulti - parameter nonintervene fetal monitors in prediciting the prognosis of Perinatal fetus, those monitorsare counting fetal movement by pregnancy woman (FM), electronic monitoring of fetal heart rate (such asNST. CST .OCT), biological physical score (BPS), fetal umbilical artery blood flow graph (systolic todiastolic ratio S/D). Amniotic fluid index (AFI), fetal electrocardiogram (FECG), estriol to creatinineratio of urine (urine E/C), et al. Reslts: The positive predictive value in single monitor was 52. 4O%.Among those monitors the comparative higher Positive value was S/D which was 84. 21 %, NST 78.57%, CST73. 56% and OCT 67. 64 %. Combinging any two of them, the positive predictive value was(82. 17% ). The positive predictive value in combing three of them was 93. 33%. The difference ofpositive predictive value between single monitor and multi - monitor was significant. Conclusion: It is theimporant point in improving perinatal prognosis by using multi - monitor test along with correct and promptdealings.