孙祥熙 靳丽杰 申庆文 蚌埠医学院附属医院妇产科，安徽 蚌埠 233004 蚌埠医学院学报 2000 0 25 1


    关键词：胎儿监测；妊娠，过期 期刊 bbyxyxb 0 34-35 临床医学 fur -->


    

摘 要：目的： 探讨胎心监护(FHRM)在过期妊娠中判断胎儿情况的可靠性。方法： 86例过期妊娠孕妇入院时做FHRM，共做181例次。评定以末次FHRM为准，于产后7天对新生儿出生时Apgar评分、对羊水量及性状、胎盘级别与形态、脐带情况和新生儿预后进行随访，并与末次FHRM结果相对照。结果： 86例FHRM末次正常图型55例，异常图型31例。围产儿死亡4例。FHRM与围产儿死亡率对照诊断符合率98.37%。结论： FHRM对判断过期妊娠胎儿安危有一定价值，并能提供客观指标和图型，是检测过期妊娠首选方法。

    分类号： R 715.7 文献标识码： A

    文章编号： 1000-2200(2000)01-0034-02

Fetal heart rate monitoring and prolonged pregnancy

SUN Qiang-xi,JIN Li-jie,SHEN Qing-wen

    (Department of Obstetrics and Gynecology,Affiliated Hospital of Bengbu Medical College,Anhui 233004,China)

Abstract： Objective： To study the probability reliability of fetal heart rate monitoring(FHRM) in judging fetal condition in prolonged pregnancy.Methods ： One hundred and eighy-one FHRMs were performed and scorings were made in 86 cases of prolonged pregnancy.The results were determined according to the last FHRM.Apgar score at birth,quantity and quality of amniotic fluid,class and modality of placental,umbilical cords conditions and neonates prognosis in follow-up were studied for 7 days after birth,compared all the above results with the last FHRM.Results ： Among the 86 cases examined,the last FHRM were normal in 55 and abnormal in 31. Four neonates of prolonged pregnancy died.The coincident rate between FHRM and neonatal death rate were 98.37%.Conclusions ： There is a definite value in judging FHRM for fetal health in prolonged pregnancy,FHRM can be served as an objective index and patterns,and is the method of first choice in detecting prolonged pregnancy.

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