切换至 "中华医学电子期刊资源库"

中华妇幼临床医学杂志(电子版) ›› 2007, Vol. 03 ›› Issue (05) : 266 -268. doi: 10.3877/cma.j.issn.1673-5250.2007.05.109

论著

农村地区实行分娩期连续胎儿监护的比较研究
魏丽君, 谌明全, 廖安波, 刘秀美   
  1. 资阳市妇幼保健院(资阳,641400)
    资阳市雁江区妇幼保健院
  • 出版日期:2007-10-01

Study of continuous electronic heart rate monitoring during delivery period in rural district

Li-jun WEI, Ming-quan CHEN, An-bo LIAO, Xiu-mei LIU   

  1. Ziyang Women & Children′s Hospital, Ziyang 641400, China
  • Published:2007-10-01
引用本文:

魏丽君, 谌明全, 廖安波, 刘秀美. 农村地区实行分娩期连续胎儿监护的比较研究[J]. 中华妇幼临床医学杂志(电子版), 2007, 03(05): 266-268.

Li-jun WEI, Ming-quan CHEN, An-bo LIAO, Xiu-mei LIU. Study of continuous electronic heart rate monitoring during delivery period in rural district[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2007, 03(05): 266-268.

目的

探讨农村基层医疗机构应用连续胎儿监护在减少胎儿宫内窘迫和新生儿窒息中的作用。

方法

选取2001年1月至2006年7月在我院分娩的孕周≥37周的孕妇为研究对象,根据监护方式分为连续胎心监护组(实验组)和非连续胎心监护组(对照组),分析两组胎儿窘迫检出率及新生儿窒息发生率。

结果

实验组胎儿窘迫检出率明显升高,两组比较,差异有显著意义(P<0.05); 新生儿窒息发生率明显下降,两组比较,差异有显著意义(P<0.05)。

结论

连续性胎心监护可及时地反映胎儿在宫内缺氧程度及动态变化,筛查胎儿窘迫,预测围出儿结局,减少新生儿窒息的发生,有利于农村地区产科质量的提高。

Objective

To explore the function of continuous electronic heart rate monitoring to reduce fetal distress and asphyxia of the newborn.

Methods

Pregnant woman more than 37 weeks in our hospital were chosen from January 2001 to July 2006, these participants were classified to test group (group of continuous electronic heart rate monitoring) and control group (group of non-continuous electronic heart rate monitoring) based on means of monitoring. Rate of fetal distress and asphyxia of the newborn were analyzed.

Results

Rate of the test group for fetal distress was greatly raised by continuous electronic heart rate monitoring, there was statistic significance (P<0.05), and incidence rate of asphyxia of the newborn declined remarkably, there was also statistic significance (P<0.05).

Conclusion

Continuous electronic heart rate monitoring could indicate in time the anoxic degree of the fetus and dynamic change, screen the fetal distress, forecast prognosis of the perinatal infant, betimes take a rightly measure for doctor, reduce asphyxia of the newborn and improve quality of maternity department.

1 盖铭英. 胎儿监护的发展与现状. 中华妇产科杂志,2000, 23(1):4-7.
2 Hindley C, Hinsliff SW, Thomson AM. Pregnant women′s views about choice of intrapartum monitoring of the fetal heart rate: A questionnaire survey. Int J Nurs Stud,2006, 13(10): 265-274.
3 乐杰主编. 妇产科学. 第5版.北京:人民卫生出版社,2004,172-178.
4 Alfirevic Z, Devane D, Gyte GM. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labour. Cochrane Database Syst Rev, 2006, 9(7): 3-15.
5 程志厚,宋树良编著. 胎儿电子监护学. 北京:人民卫生出版社,2001,267-275.
6 朱洁萍,戴钟英. 分娩期连续电子胎心监护用于胎儿评估. 生殖与避孕,2006, 26(2): 110-112.
7 冯彩燕. 分娩期连续胎儿监护的体会. 国际护理学杂志,2006, 25(12):1012-1013.
8 杨祖青.人室实验的概念及临床意义. 中国实用妇科与产科杂志,2004,20(1):7-8.
9 冯相珍. 电子胎心监护在降低围产儿病死率中的作用. 中国妇幼保健,2004,19(14):57-59.
10 王念.连续胎儿监护在分娩中的应用. 实用心电学杂志,2005,5(5):39-41.
[1] 罗兵, 董凤群, 王义成, 程志华, 张婷, 焦桂青. 超声监测羊水过少胎儿主动脉峡部血流指数的临床价值[J]. 中华医学超声杂志(电子版), 2020, 17(12): 1203-1207.
[2] 李文琳, 羊玲, 邢凯慧, 陈彩华, 钟丽花, 张娅琴, 张薇. 脐动脉血血气分析联合振幅整合脑电图对新生儿窒息脑损伤的早期诊断价值分析[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(05): 550-558.
[3] 陈樱, 陈艳莉. 高龄孕妇心率变异性原因及围产结局分析[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(03): 295-301.
[4] 李瑛, 沈四国. 新生儿窒息后多脏器功能损害的研究进展[J]. 中华妇幼临床医学杂志(电子版), 2013, 09(02): 250-253.
[5] 简和, 杨尧. 新生儿窒息血清电解质和血糖变化的临床研究[J]. 中华妇幼临床医学杂志(电子版), 2008, 04(05): 456-459.
[6] 丁婷, 曲元, 王东信. 硬膜外分娩镇痛对剖宫产术后阴道试产母婴结局的影响[J]. 中华临床医师杂志(电子版), 2017, 11(23): 2440-2444.
[7] 李瑞瑞, 黄楚君, 龚景进, 贺芳. 新生儿窒息产前产时危险因素分析[J]. 中华产科急救电子杂志, 2022, 11(02): 94-98.
[8] 樊尚荣. 妇产科医生需要重视新生儿复苏[J]. 中华产科急救电子杂志, 2019, 08(03): 165-168.
[9] 吴淑燕, 张建平. 急性胎儿窘迫的诊断与处理[J]. 中华产科急救电子杂志, 2018, 07(01): 14-19.
[10] 王乐乐, 刘慧姝. 胎儿窘迫的处置[J]. 中华产科急救电子杂志, 2015, 04(02): 93-97.
阅读次数
全文


摘要