胎心监护联合胎儿大脑中动脉血流S/D值、血清雌三醇检测评估新生儿预后的临床应用(1)
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[摘要] 目的 探讨胎心监护联合胎儿大脑中动脉血流S/D值、血清雌三醇检测评估新生儿预后的临床应用。 方法 对2009年7月～2012年1月在我科分娩的2 450例孕妇进行胎心监护及血清雌三醇、胎儿大脑中动脉血流S/D值测定，分析其与新生儿预后的关系。 结果 一种检查方法的假阳性率为27.9%，两种联合检查假阳性率为5.4%，三种联合检查的假阳性率为0.6%，明显低于一种及两种联合检测(P < 0.05)。 结论 多因素联合监测发现胎儿窘迫的假阳性率减少，可降低剖宫产率并降低新生儿的并发症发生率。
[关键词] 胎心监护；大脑中动脉血流S/D值；血清雌三醇；新生儿预后
[中图分类号] R714.5 [文献标识码] A [文章编号] 1673-7210(2012)08(b)-0031-02
Clinical application of fetal heart rate monitoring combined with middle cerebral artery blood flow S/D value and serum estriol detection in assessment of neonatal prognosis
LE Yan WANG Aitao LI Yang WANG Genmei LI Yingzi
Qishi Hospital of Dongguan City, Guangdong Province, Dongguan 523500, China
[Abstract] Objective To discuss the clinical application of fetal heart rate monitoring combined with middle cerebral artery blood flow S/D value and serum estriol detection in assessment of neonatal prognosis. Methods 2 450 cases of delivery pregnant women in our deparmtent from July 2009 to January 2012 were selected and performed the fetal heart rate monitoring, middle cerebral artery blood flow S/D value and serum estriol detection. Then the relationship between detection results and neonatal prognosis was analyzed. Results The false-positive rate of single detection was 27.9%; the false-positive rate of two combination detection was 5.4%; the false-positive rate of three combination detection was only 0.6%; the false positive rate of three combination detection was significantly lower than others (P < 0.05). Conclusion The false-positive rate of fetal distress found by multi-factors combined monitoring is less, which can reduce cesarean section rate and the complications of newborn babies ......
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