妊娠晚期脐血流测定联合胎心监护对胎儿预后的意义
China Health Care & Nutrition(2017)
Abstract
目的:分析妊娠晚期脐血流测定联合胎心监护对胎儿预后的意义.方法:选取2014年3月-2017年3月在我院48例妊娠晚期产妇作为研究对象,根据脐血流测定和胎心监护检查结果分为Ⅰ组(脐血流S/D和胎心监护均正常),Ⅱ组(脐血流S/D异常,胎心监护正常),Ⅲ组(脐血流S/D正常,胎心监护异常),Ⅳ组(脐血流和胎心监护均异常).比较四组胎儿预后情况.结果:48例产妇中,产前脐血流测定和胎心监护结果显示:Ⅰ组34例,Ⅱ组7例,Ⅲ组4例,Ⅳ组3例.其中Ⅰ组羊水污染率20.59%,剖宫产率11.76%,新生儿Apgar评分均≥8分,无新生儿窒息、低体重儿和胎死宫内;Ⅱ组羊水污染率28.57%,剖宫产率14.29%;Ⅲ组羊水污染率25.00%,剖宫产率50.00%;Ⅳ组羊水污染率33.33%,剖宫产率66.67%.Ⅱ组、Ⅲ组和Ⅳ组羊水污染率、Apgar评分、剖宫产率和低体重儿比率均显著高于Ⅰ组(P<0.05).结论:妊娠晚期脐血流测定联合胎心监护对提高诊断胎儿宫内状况准确性,改善胎儿预后有重要意义.
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