胎心监护及相关因素对胎儿窘迫的诊断价值
胎儿窘迫,,胎心监护仪;相关因素;胎儿窘迫,1资料与方法,2结果,3讨论,参考文献：
摘要：目的 探讨胎心监护及相关因素对胎儿窘迫的诊断。方法 对337例以胎儿窘迫为指征行剖宫产的病例分别进行听诊器听诊和胎心监护仪监测,统计其新生儿窒息率及胎儿窘迫相关因素百分率，并统计各胎儿窘迫相关因素的百分比。结果 ①胎心监护仪检出的新生儿窒息率和胎儿窘迫相关因素百分率相应升高。②胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。结论 ①胎心监护仪与听诊器比较敏感性更高，它作为筛选胎儿低氧的手段很有价值。②对于有胎儿窘迫相关因素者应密切监护，积极处理，适时剖宫产。关键词：胎心监护仪;相关因素;胎儿窘迫
The Diagnostic Value of Intrauterine Fetal Monitoring and Relative Factors to Fetal Distress
GAO Aizhen
(Dashi People’s Hospital, Panyu Guangzhou 511430,China)
ABSTRACT:Objective To discuss the diagnosis of intrauterine fetal monitoring and factors in relation with fetal distress. Methods To analyse the 337 cases of patients who were conducted with cesarean section by the sign of fetal distress.All women were auscultated by stethoscope and inspected by fetus guarding instrument,and the results were compared each other.The percentage of asphyxia neonatorum and relative factors to fetal distress were calculated respectively.Results ①The percentage of asphyxia neonatorum and the percentage of the relative factors to fetal distress inspected by fetus guarding instrument apparatus was comparatively high.②The major relative factors to fetal distress were: abnormality of umbilical cord, oligohydramnios and placenta abnormality.Conclusion ①The sensitivity of fetus guarding instrument apparatus is higher than that of stethoscopy.It is a valuable way filtrating the case of intrauterine fetal anoxia.②The relative factors to fetal distress should be monitored intimately, and timely performing cesarean section. ......
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