摘要
目的探讨高危妊娠孕妇在分娩中进行胎心监护对妊娠结局的预测效果。方法选取2020年3月至2021年3月我院收治的90例高危妊娠孕妇作为研究对象,按不同监测方法分为对照组(45例,常规监测)和观察组(45例,胎心监护)。比较两组的分娩方式、不良妊娠结局、新生儿的不良结局、胎心检测结果。结果观察组的经阴道分娩率明显高于对照组,剖宫产率明显低于对照组(P<0.05)。观察组的不良妊娠结局总发生率明显低于对照组(P<0.05)。观察组新生儿的不良结局发生率明显低于对照组(P<0.05)。观察组的胎心异常、胎动异常、无应激试验结果异常检出率均明显高于对照组(P<0.05)。结论高危妊娠孕妇在分娩中进行胎心监护,不仅能改善妊娠结局,提高经阴道分娩率,且对保护母婴的安全具有非常积极的意义,值得临床应用。
Objective To explore the prediction effect of fetal heart rate monitoring on pregnancy outcome in high-risk pregnant women during delivery.Methods A total of 90 high-risk pregnant women admitted in our hospital from March 2020 to March 2021 were selected as the research objects and divided into control group(45 cases,routine monitoring)and observation group(45 cases,fetal heart rate monitoring)according to the different monitoring methods.The delivery mode,adverse pregnancy outcome,adverse neonatal outcome and fetal heart rate test results of the two groups were compared.Results The rate of vaginal delivery in the observation group was significantly higher than that in the control group,and the rate of cesarean section was significantly lower than that in the control group(P<0.05).The total incidence of adverse pregnancy outcome in the observation group was significantly lower than that in the control group(P<0.05).The incidence of neonatal adverse outcome in the observation group was significantly lower than that in the control group(P<0.05).The detection rates of abnormal fetal heart rate,fetal movement and no stress test results aberrant in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Fetal heart rate monitoring in high-risk pregnant women during delivery can not only improve the pregnancy outcome and the rate of vaginal delivery,but also have a very positive significance for the safety of mothers and infants,which is worthy of clinical application.
作者
汤淑珍
戴俊
范成姣
TANG Shuzhen;DAI Jun;FAN Chengjiao(Obstetrics and Gynecology Department,Macheng Maternal and Child Health Care Hospital,Macheng 438300;Anesthesia Department,Macheng Maternal and Child Health Care Hospital,Macheng 438300;Obstetrics and Gynecology Department,People's Hospital of Macheng City,Macheng 438300,China)
出处
《临床医学研究与实践》
2022年第16期90-92,共3页
Clinical Research and Practice
关键词
高危妊娠孕妇
分娩
胎心监护
妊娠结局
high-risk pregnant women
delivery
fetal heart rate monitoring
pregnancy outcome
