任秀萍 汪晨霞 233000 蚌埠市第一人民医院妇产科 蚌埠医学院学报 1999 0 24 3


    关键词：胎儿监测；心率，胎儿；预后 期刊 bbyxyxb 0 临床医学 fur -->


    

摘要 目的： 探讨胎心率延长减速(PD)与胎儿预后的关系。方法： 对64例PD进行临床分析，并以70例胎心监护正常者作对照。结果： 64例PD中，常见的相关因素是脐带异常(50.00%)和羊水过少(40.48%)。PD伴其它异常图型羊水Ⅲ度粪染率占95.00%，显著高于单纯PD组(13.64%)和对照组(5.71%)(P<0.005)。单纯PD组和对照组差异无显著性(P>0.05)。PD组与对照组新生儿窒息率差异无显著性(P>0.05)。产前发现PD至分娩时间与新生儿预后无明显关系(P>0.05)。结论： PD通常提示存在脐带异常或羊水过少；但一般新生儿结局良好。

Prolonged deceleration in fetal heart rate and prognosis of fetus

Ren Xiuping,Wang Chenxia

Department of Obstetries and Gynecology Bengbu First People's Hospital,Anhui 233000

Abstract Objective: To investigate the relationship between prolonged deceleration(PD) in fetal heart rate and prognosis of fetus.Methods: Sixty-four cases with PD in fetal heart rate were analysed retrospectively,and 70 cases with normal fetal heart rate in electro fetal heart monitoring as controls.Results: Among the 64 cases with PD,the common factors revealed were abnormality in umbilical cord(50.00%) and oligohydramnios(40.48%).Cases with contamination of meconium in amnionic fluid(Ⅲ degree) showed to have PD complicated with other abnomal patterns.The incidence were obviously higher(95.00) that showed to have PD alone than(13.64%) and that in nomal control(5.71%)(P<0.005).The difference in incidence of asphyxia of newborn between PD group and control group was not significant(P>0.05).PD appeared in fetus before birth till birth showed to have no relation with the prognosis of newborn(P>0.05).Conclusions: PD in fetus generally indicates the presence of abnormality in umbilical cord or oligohydramnios,and the prognosis is favourable.

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