摘要
目的 探讨超声联合胎心监护诊断胎儿宫内窘迫（FIUD）的临床效果.方法 选取2012年5月～2013年5月期间于佛山市南海区第二人民医院接受产前检查的78例孕妇,将其分为实验组和对照组,每组各39例.实验组使用超声联合胎心监护进行产前FIUD检查,对照组仅使用超声进行产前检查,分析两组孕妇出现FIUD的原因,并比较两组诊断结果与新生儿Apgar评分情况.结果 实验组及对照组中孕妇因脐带绕颈发生FIUD的概率（64.10％、58.97％）明显高于妊娠高血压综合征（PIH）（17.95％、20.51％）、过期妊娠（12.82％、12.82％）、脐带受压（5.13％、7.69％）;实验组诊断符合正常新生儿评分并接近10分的概率（88.00％）明显高于对照组（60.00％）,实验组诊断不符合新生儿评分≤4分的概率（78.57％）明显高于对照组（57.89％）,差异有统计学意义（P＜0.05）;实验组的无效率（7.69％）明显低于对照组（46.16％）,差异有统计学意义（P＜0.05）,实验组的总有效率（92.31％）明显高于对照组（53.84％）,差异有统计学意义（P＜0.05）.结论 筛查FIUD是产前检查的重要内容之一,产生原因主要有脐带绕颈和PIH,使用超声联合胎心监护进行检查,能够正确地诊断出FIUD,及时地采取措施治疗,有利于新生儿的健康,使家庭减少一些不必要的负担和痛苦.
Objective To discuss the clinical effects of ultrasound examination combined with fetal monitoring on the diagnosis of fetal distress in uterus （FDIU）.Methods 78 pregnant women with prenatal examinations from May 2012 to May 2013 in the Second People＇s Hospital of Nanhai District in Foshan City were selected and divided into the experiment group and control group,with 39 cases in each group.Pregnant women in the experiment group were given the ultrasound examination combined with fetal monitoring on the diagnosis of fetal distress,while the control group were just given the ultrasound examination.The reason for fetal distress of the two groups was ananlyzed,and the diagnosis results and Apgar score of the two groups were compared.Results The probability of fetal distress of the experiment group and control group caused by cord around neck （64.10%,58.97%） were significantly higher than pregnancy-induced hypertension（17.95%,20.51%）,prolonged pregnancy （12.82%,12.82%）,compression of umbilical cord （5.13%,7.69%）,the diagnosis accord with normal neonatal score and close to 10 scores of experimental group （88.00%） was significantly higher than the control group （60.00%）,the diagnosis not accord with abnormal diagnosis compliance score and no more than 4 of the experimental group （78.57%） was significantly higher than that of control group （57.89%）,the difference was statistically significant （P 〈 0.05）.The inefficiency of the experiment group （7.69%） was obviously lower than that of control group （46.16%）,the difference was statistically significant （P 〈0.05）; and the overall effective rate of the experiment group （92.31%） was obviously higher than that of control group （53.84%）,the difference was statistically significant （P 〈 0.05）.Conclusion Screening for fetal distress is an important part of prenatal examination,with the examination of ultrasound examination combined with fetal monitoring,it can correctly diagnose fetal distress,and timely take measures for the treatment,which is conducive to the health of the newborn and can reduce some unnecessary pressure and pain for the family.
出处
《中国医药导报》
CAS
2013年第35期53-55,58,共4页
China Medical Herald
基金
广东省佛山市医学类科技攻关项目(编号0006043120420068)
关键词
超声检查
胎心监护
胎儿宫内窘迫
临床效果
Ultrasound examination
Fetal monitoring
Fetal distress in uterus
Clinical effect
