胎心监护联合脐血流检测在高危妊娠中的预测价值回顾性分析

《胎心监护联合脐血流检测在高危妊娠中的预测价值回顾性分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、胎心监护联合脐血流检测在高危妊娠中的预测价值回顾性分析武汉市黄陂区人民医院妇产科湖北武汉430300【摘要】目的:探讨胎心监护联合脐血流检测在高危妊娠屮的预测价值。方法：选取我院产科收治的、进行无刺激胎儿脐血流S/D值监测和胎心监护监测的500例高危妊娠孕妇，对临床资料进行回顾性分析，分析比较其监测结果与分娩后胎儿窘迫发生率、脐带异常率及羊水情况的相关性。结果：胎儿脐血流S/D比值、RI值、FVR值、PI值及胎心监护异常组的产妇羊水过少、羊水污染、胎儿宫内窘迫、胎儿生长受限、妊娠期糖尿病、妊娠期高血压疾病、脐带异常及剖宫产等的发

2、生率明显大于脐血流S/D比值、RI值、FVR值、PI值及胎心监护均正常的对照组，两者间差异(P<0.05),具有统计学意义。脐血流监测值正常而胎心监测值异常组的产妇羊水过少、胎儿窘迫、羊水污染及剖宫产率明显大于对照组，两者间差异(P<0.05),具有统计学意义。结论:胎儿脐血流监测及胎心监测因为其简便易行，可循环利用、无任何有害刺激和创伤，能显著提高对高危妊娠临床症状的预测判断和指导产科临床，具有十分重要的作用和意义，可以广泛用于临床，以减少高危妊娠的发生率。【关键词】胎心监护；脐血流监测；高危妊娠；预测价值Abst

3、ract]Objective：Toexplorethepredictivevalueoffetalheartratemonitoringcombinedwithumbilicalcordbloodflowmeasurementinhighriskpregnancy.Methods：atotalofmyhospital,nostimulationoffetalumbilicalcordbloodflows/Dvalueofmonitoringandmonitoringoffetalheartratemonitoring500cas

4、esofhigh-riskpregnancyclinicaldatawereretrospectivelyanalyzed，comparisonandanalysisofthemonitoringresultsanddeliveryaftertheoccurrenceoffetaldistressrateandtherateofabnormalumbilicalcordandamnioticfluidofcorrelation.Results：fetalumbilicalcordbloodflows/Dratio,RI,FVRv

5、alues，pivalueandfetalheartratemonitoringabnormalgroupofoligohydramnios，contaminationofamnioticfluid，fetaldistress，fetalgrowthrestriction,gestationaldiabetes,gestationalhypertensiondisease，significantlythanumbilicalbloodflows/Dratio,Rl，FVRvalues,PIvalueandfetalheartra

6、temonitoringwerenormalinthecontrolgroupintheincidenceofabnormalumbilicalcordandcesareansection,differencesbetweenthetwogroups(P<0.05)，withstatisticalsignificance.Umbilicalbloodflowmonitoringvalueofnormalandfetalheartmonitoringabnormalgroupofmaternalamnioticfluidis

7、toolittle，fetaldistress，amnioticfluidpollutionandcesareansectionratewassignificantlygreaterthanthecontrolgroup,thedifferencebetweenthetwo(P<0.05),withstatisticalsignificance.Conclusion：fetalumbilicalbloodflowmonitoringandfetalheartmonitoringbecauseofitssimple,recy

8、cling，withoutanyharmfulstimulationandtrauma，cansignificantlyimprovetheclinicalsymptomsofpredictingandguidingclinicalobstetricsofhig