摘要
目的探讨在产科临床应用胎心监护的重要性。方法选择待产孕妇(例数:500例,时间:2016年7月—2018年7月),对500例待产孕妇进行胎儿心率监护,以此对胎心监护的应用价值进行探讨。结果500例待产孕妇中致胎儿窘迫危险因素有:脐带因素、胎盘因素、母体因素,分别比率为:90例(18.00%)、50例(10.00%)、40例(8.00%);脐带因素中以脐带绕颈、脐带过短、脐带扭转最为常见,分别占例数:40例、12例、10例;胎盘因素中以羊水过少、胎盘老化和前置胎盘最为常见,分别占例数:25例、8例、5例;母体因素中以重度子痫前期、发热、重度贫血最为常见,分别占例数:19例、6例、3例。结论胎心监护在产科临床应用中的重要性十分突出,能够了解胎儿的宫内状态,及时发现胎儿宫内缺氧情况,及早判断胎儿窘迫情况以便积极处理,避免了围生儿死亡。
Objective To explore the importance of fetal heart monitoring in obstetrics.Methods Selecting expectant mothers(number of cases:500,time:July 2016 to July 2018),fetal heart rate monitoring was performed on 500 expectant mothers,and the application value of fetal heart monitoring was discussed.Results The risk factors for fetal distress among 500 pregnant women were:umbilical cord factor,placental factor,and maternal factor.The ratios were:90 cases(18.00%),50 cases(10.00%),and 40 cases(8.00%).Umbilical factor umbilical cord around the neck,the umbilical cord was too short,and the umbilical cord is the most common,accounting for 40 cases,12 cases,and 10 cases.Among the placental factors,oligohydramnios,placental aging,and placenta previa are the most common:25 cases,8 cases,5 cases;Severe preeclampsia,fever,and severe anemia were the most common maternal factors,accounting for 19 cases,6 cases,and 3 cases,respectively.Conclusion The importance of fetal heart monitoring in obstetric clinical application is very important.It can understand the intrauterine status of the fetus,detect the intrauterine hypoxia in time,and judge the fetal distress early so as to deal with it actively and avoid perinatal death.
作者
张琳
ZHANG Lin(Department of Obstetrics,Xishuangbanna People's Hospital,Xishuangbanna,Yunnan Province,666100 China)
出处
《系统医学》
2020年第2期107-109,共3页
Systems Medicine
关键词
胎心监护
胎心率
胎儿窘迫
产科
Fetal heart monitoring
Fetal heart rate
Fetal distress
Obstetrics
作者简介
张琳(1976-),女,白族,云南大理人,本科,副主任医师,主要从事产科临床工作。
