胎儿监测在高危妊娠中的临床意义研究
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摘要
目的分析胎儿监测对于高危妊娠产妇妊娠结局及新生儿的影响。方法选取我院自2015年10月—2018年7月收治的高危孕妇212例,按照随机数字表法分为研究组(108例)和对照组(104例)。对照组给予常规管理,研究组给予胎儿监测管理。比较两组产妇的妊娠结局、新生儿出生情况及新生儿并发症发生率。结果(1)对照组与研究组分娩方式比较,两组差异具有统计学意义(χ2=10.285,P <0.05)。(2)两组患者妊娠高血压、合并糖尿病、羊水过多、贫血相比较,差异无统计学意义(P> 0.05)。两组患者胎膜早破与羊水过少相比较,对照组显著高于研究组,两组比较差异具有统计学意义(P <0.05)。(3)对照组与研究组围产儿死亡、早产、小于胎龄儿的发生率比较,差异无统计学意义(P>0.05)。两组患者新生儿窒息、羊水污染、肺炎及缺血缺氧性脑病发生率比较,差异具有统计学意义(P <0.05)。结论给予胎儿彩超联合胎心监护进行监测,可以改善分娩方式,降低剖妇产发生率;改善高危妊娠产妇妊娠结局,显著改善胎膜早破与羊水过少的不良结局;降低新生儿的新生儿窒息、羊水污染、肺炎及缺血缺氧性脑病发生率。
Objective To analyze the influence of fetal monitoring on pregnancy outcome and neonates of high-risk pregnant women. Methods212 cases of high-risk pregnant women admitted to our hospital from October 2015 to July 2018 were divided into study group(108 cases) and control group(104 cases) according to random number table method. The control group was given routine management, while the research group was given fetal monitoring management. Pregnancy outcome, neonatal birth and neonatal complications were compared between the two groups. Results(1)There was significant difference in delivery mode between the control group and the study group(χ 2 = 10.285, P < 0.05).(2) There was no significant difference in pregnancy hypertension, diabetes mellitus, polyhydramnios and anemia between the two groups(P > 0.05). Premature rupture of membranes and oligohydramnios in the two groups were significantly higher in the control group than in the study group, and the comparison between the two groups was statistically significant(P < 0.05).(3) There was no significant difference in the incidence of perinatal death, premature birth and small for gestational age infant between the control group and the research group(P > 0.05). The incidence of neonatal asphyxia, amniotic fluid pollution, pneumonia and ischemic-hypoxic encephalopathy in the two groups were statistically significant(P < 0.05). Conclusion Fetal color Doppler ultrasound combined with fetal heart monitoring can improve the delivery mode and reduce the incidence of caesarean section; improve the pregnancy outcome of high-risk pregnant women, significantly improve the adverse outcome of premature rupture of membranes and oligohydramnios;reduce the incidence of neonatal asphyxia, amniotic fluid pollution,pneumonia and ischemic-hypoxic encephalopathy. It has the value of clinical popularization and application.
Objective To analyze the influence of fetal monitoring on pregnancy outcome and neonates of high-risk pregnant women. Methods212 cases of high-risk pregnant women admitted to our hospital from October 2015 to July 2018 were divided into study group(108 cases) and control group(104 cases) according to random number table method. The control group was given routine management, while the research group was given fetal monitoring management. Pregnancy outcome, neonatal birth and neonatal complications were compared between the two groups. Results(1)There was significant difference in delivery mode between the control group and the study group(χ 2 = 10.285, P < 0.05).(2) There was no significant difference in pregnancy hypertension, diabetes mellitus, polyhydramnios and anemia between the two groups(P > 0.05). Premature rupture of membranes and oligohydramnios in the two groups were significantly higher in the control group than in the study group, and the comparison between the two groups was statistically significant(P < 0.05).(3) There was no significant difference in the incidence of perinatal death, premature birth and small for gestational age infant between the control group and the research group(P > 0.05). The incidence of neonatal asphyxia, amniotic fluid pollution, pneumonia and ischemic-hypoxic encephalopathy in the two groups were statistically significant(P < 0.05). Conclusion Fetal color Doppler ultrasound combined with fetal heart monitoring can improve the delivery mode and reduce the incidence of caesarean section; improve the pregnancy outcome of high-risk pregnant women, significantly improve the adverse outcome of premature rupture of membranes and oligohydramnios;reduce the incidence of neonatal asphyxia, amniotic fluid pollution,pneumonia and ischemic-hypoxic encephalopathy. It has the value of clinical popularization and application.
引文
[1]王彦霁,刘秀萍,宋锦平.二胎孕妇妊娠焦虑状态调查及相关因素分析[J].护理学杂志,2017,31(8):85-87.
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[10]朱莉姗.高危妊娠监护管理干预措施在提高剖宫产术后再次妊娠患者阴道顺产分娩中的作用与效果研究[J].中国妇幼保健,2016,31(5):958-960.
[11]陆云爱.对高危妊娠孕妇实施孕期管理措施的价值分析[J].实用医技杂志,2017,24(5):573-575.
[12]王素贞.胎儿脐血流监测及胎心监护监测在高危妊娠中的预测价值[J].中国继续医学教育,2018,10(8):78-80.
[13]张小英.高危妊娠孕妇的临床分析[J].中外医学研究,2017,14(3):124-125.
[2]胡前珍.高危妊娠产妇的心理护理体会[J].河南医学研究,2017,26(4):752-753.
[3]杨素芬,杨苗苗,何丽莲.1506例高危妊娠孕产妇住院分娩情况分析[J].医学检验与临床,2017,14(4):547-549.
[4]周亚芹.高危妊娠产妇的危险因素分析及预防措施[J].中国医药指南,2017,15(1):105-106.
[5]张如星.妊娠糖尿病孕妇脐血流SD值与胎儿宫内窘迫相关性分析[J].中国妇幼健康研究,2016,27(7):813-815.
[6]党辉辉.高危妊娠产妇的危险因素分析及预防措施[J].临床医药文献电子杂志,2017,4(42):8143,8146.
[7]黄雅,朱丽仙,钟洁,等.高危妊娠产妇高危因素分析与治疗[J].中外医疗,2016,35(2):23-24,27.
[8]肖桂香.高危妊娠488例健康管理分析[J].中国社区医师,2017,33(10):141,143.
[9]许险峰,李振洲,赵卫华,等.脐动脉血流S/D值在可疑型胎心监护围产儿结局预测中的价值研究[J].中国妇幼保健,2014,29(5):804-806.
[10]朱莉姗.高危妊娠监护管理干预措施在提高剖宫产术后再次妊娠患者阴道顺产分娩中的作用与效果研究[J].中国妇幼保健,2016,31(5):958-960.
[11]陆云爱.对高危妊娠孕妇实施孕期管理措施的价值分析[J].实用医技杂志,2017,24(5):573-575.
[12]王素贞.胎儿脐血流监测及胎心监护监测在高危妊娠中的预测价值[J].中国继续医学教育,2018,10(8):78-80.
[13]张小英.高危妊娠孕妇的临床分析[J].中外医学研究,2017,14(3):124-125.