摘要
目的探讨胎儿脐血流测定联合胎心监护预测孕妇妊娠期高血压合并感染围产儿预后的价值,旨在改善胎儿的预后。方法将产科2012年1-12月住院的160例妊娠期高血压合并感染孕妇作为研究对象,根据胎心监护及胎儿脐动脉血流测定结果分为4组,A组18例为胎心监护与脐血流值均异常;B组21例为胎心监护正常,脐血流异常;C组28例为胎心监护异常,脐血流正常;D组93例为胎心监护与脐血流均正常。结果 D组胎儿无宫内窘迫发生,优于其他各组(P<0.05);新生儿出生阿氏评分均>7分D组93例、C组26例、B组19例、A组15例,D组明显多于其他各组(P<0.05);D组新生儿出生体质量(2 625.17±226.85)g,明显重于其他各组(P<0.05);围产儿预后结果显示,羊水污染A组33.33%、B组23.81%、C组14.29%、D组8.6%,A组高于其他各组(P<0.05),A组无阴道分娩孕妇,B组阴道分娩率47.62%,C组阴道分娩率67.86%,D组阴道分娩比例为96.77%,D组明显高于其他各组(P<0.05)。结论脐血流测定联合胎心监护预测围产儿预后,对于正确诊断胎儿宫内窘迫、降低新生儿的病死率、改善围产儿的预后具有重要价值。
OBJECTIVE To investigate the value of the joint determination of fetal umbilical blood flow and fetal hearvt monitoring in pregnant women with hypertension and infection in pregnancy perinatal to improve fetal prognosis. METHODS Totally 160 cases of pregnant women and complicated with infection with hypertension who were hospitalized from Jan 2012 to Dec 2012 were taken as the research objects, according to fetal heart rate monitoring and fetal umbilical artery blood flow measurement they were divided into four groups, A Group （18cases） ： fetal heart rate and umbilical blood flow values were abnormal, B Group（21cases） .. normal fetal heart rate abnormal umbilical blood flow, C Group（28cases）： abnormal fetal heart rate monitoring, normal umbilical blood flow, D Group（93eases） ： fetal heart rate and umbilical blood flow were normal. RESULTS No fetal distress in Group D was found, which was less than the other groups （P0.05）. Apgar scores with the resut of more them 7 points or more 93 case in group D, 26 cases in C group, 19 cases in B group, 15 cases in A group, D group more than the other groups （P0.05）. The birth weight of Group D were （2625. 17--6 226.85）g, which were significantly heavier than the other groups （P〈0.05）. Amniotic pulution of Group A 33.33 were higher that, Group B 2a. 81M ,Group C 14.29% ,Group D 8.6% （P〈0.05）. Perinatal outcome showed that vaginal delivery group D ratio 96. 77, higher than the other groups （P%0.05）. CONCLUSION It is of great value to ]oint umbilical blood flow and fetal heart monitoring to predict perinatai outcome, make a correct diagnosis of fetal distress, reduce neonatal mortality and improve perinatal prognosis.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第4期986-987,990,共3页
Chinese Journal of Nosocomiology
基金
科学技术研究与发展基金资助项目(1200321023)
关键词
胎心监护
胎儿脐血流
妊娠期高血压
感染
Fetal heart rate monitoring
Fetal umbilical blood flow
Gestational hypertension
Infection
作者简介
通信作者：王冬梅，E-mail：dmrabbit@163．com
