无负荷试验后1周内胎死宫内的分析

首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (4): 355-357.

无负荷试验后1周内胎死宫内的分析

翟桂荣, 黄醒华

首都医科大学附属北京妇产医院产科

收稿日期:1997-12-02 修回日期:1900-01-01 出版日期:1998-10-15 发布日期:1998-10-15

Fetal Death within One Week of Non-stress Testings

Zhai Guirong, Huang Xinghua

Beijing Obstetrics and Gynecology Hospital Affiliate of Capital University of Medical Sciences

Received:1997-12-02 Revised:1900-01-01 Online:1998-10-15 Published:1998-10-15

摘要/Abstract

摘要： 8年间行无负荷试验(NST)37890人次.于监护1周内胎儿死亡者51例,占死亡总数的22.4%,占监护总数的0.13%.其中NST反应型(NST-R)占总数的97.1%,无反应型(NST-NR)占2.9%.NST-R组死胎率0.07%,显着低于NST-NR组的2.28%(P<0.001).NST-R组中73.1%为足月适龄儿,其中50%孕妇无高危因素.胎儿死亡原因为脐带或胎盘因素引起的急性意外情况.在NST-NR组中96%的死胎为早产和小于胎龄儿,80%的孕妇为高危孕妇,包括妊娠高血压综合征(64%)、胎儿宫内发育迟缓(16%),所有NST-NR病例均伴有其他检测的异常.结果提示:NST是预测胎儿预后的方法之一,如果NST无反应型并伴有胎盘检测结果的异常,将会严重影响围产儿尤其是早产儿的预后.

关键词: 无负荷试验, 死胎, 妊娠高血压综合征, 高危孕妇

Abstract: The number of fetal death was 228 in 37 890 times of non-stress testing(NST)from 1989～1996(8 years). 51 cases were died with one week of NST accounted 22.4% of total fetal death and 0.13% of total number of NST. 97.1% of NST result was reaction(NST-R)and 2.9% was non reaction(NST-NR). The fetal mortality rate in NST-R group was significantly lower than that of NST-NR group 0.07% vs 2.28%, P<0.001. In NST-R group 73.1% of fetal deaths was term and normal birth weight babies, 50% of their mothers was low risk pregnancy. The main cause of fetal deaths was acute even(74%)due to cord or placental problems. In NST-NR group 96% of fetal deaths was premature and low birth weight babies. 80% of them was from high risk mothers including 64% of pregnancy induced hypertension disorders and 16% of intrauterine fetal growth retardation. All of NST-NR cases complicated with other abnormal fetal placental testing. The result showed that NST is one method of survillances to predict prognosis. If result of NST is NST-NR and complicated with other abnormal results of fetal placental testing, the prognosis would be poor especial for premature baby.

Key words: non stress testing, fetal death, pregnancy induced hypertension, high risk pregnancy

中图分类号:

R714.43

翟桂荣;黄醒华. 无负荷试验后1周内胎死宫内的分析[J]. 首都医科大学学报, 1998, 19(4): 355-357.

Zhai Guirong;Huang Xinghua . Fetal Death within One Week of Non-stress Testings[J]. Journal of Capital Medical University, 1998, 19(4): 355-357.

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