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目的:探讨系统胎心监护对减少胎儿宫内窘迫、新生儿窒息的作用及对剖宫产率的影响。方法:选取我院2006年系统胎心监护的产妇926例进行分析。结果:926例病例中能找到胎儿窘迫相关因素的为302例,占32.6%,其中比例最高的为脐带因素,其次为胎盘因素、产程异常、羊水过少,妊娠合并症等因素。结论:胎心监护可及时地反映胎儿在宫内缺氧程度及动态变化,在诊断胎儿宫内窘迫时,须综合判断来评价,对于那些处理后症状仍存在,而又不能经阴道分娩者,应果断行剖宫产术以降低围产儿的并发症及死亡率。
Objective: To investigate the effect of systematic fetal heart monitoring on reducing fetal distress, neonatal asphyxia and cesarean section rate. Methods: Nine hundred and seventy-six cases of maternal fetal heartbeat care in our hospital in 2006 were analyzed. Results: Of the 926 cases, 302 cases were found related to fetal distress, accounting for 32.6%. The highest proportion was umbilical cord factors, followed by placental factors, abnormal labor process, oligohydramnios and pregnancy complications. Conclusion: Fetal heart monitoring can reflect the degree and dynamic changes of fetal hypoxia in the uterus in time. In the diagnosis of fetal distress, it is necessary to evaluate comprehensively. For those who still have symptoms after treatment but can not deliver vaginally, Cesarean section should be decisive to reduce perinatal complications and mortality.