第二产程胎心监护异常与新生儿预后的关系

首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (3): 414-417.

第二产程胎心监护异常与新生儿预后的关系

赵友萍, 周琦, 黄醒华

首都医科大学附属北京妇产医院产科

收稿日期:2006-01-25 修回日期:1900-01-01 出版日期:2006-06-24 发布日期:2006-06-24

Relationship between Monitoring of Abnormal FHR During the Second Birth Process and Neonatal Prognosis

Zhao Youping, Zhou Qi, Huang Xinghua

Beijing Obstetrics and Gynecology Hospital, Capital University of Medical Sciences

Received:2006-01-25 Revised:1900-01-01 Online:2006-06-24 Published:2006-06-24

摘要/Abstract

摘要： 目的探讨第二产程胎心监护异常与新生儿预后的关系.方法回顾性分析北京妇产医院2004年1月至12月,分娩的109例窒息新生儿第二产程的胎心监护情况.结果 109例窒息新生儿中轻度窒息97例,重度窒息12例.胎心监护异常图形为:轻度可变减速(mild VD)20例,中度可变减速(medium VD)28例,重度可变减速(severe VD)15例,晚期减速(LD)1例,可变减速伴终末减速(VD with TDr)9例,重度心动过缓(marked bradycardia)16例,轻度可变减速伴延长减速(mild VD withPD)15例,中重度可变减速伴延长减速(medium-severeVD with PD)5例.结论胎心监护异常与新生儿窒息有明显的关系(P＜0.01),有条件时在第二产程应对胎心进行监护.

关键词: 第二产程, 胎心监护异常, 新生儿预后

Abstract: Objective To investigate the relationship between abnormal fetal heart and the neonatal prognosis during the second birth process.Methods 109 cases of neonatal asphyxia delivery in our hospital were reviewed.Results 97 cases were mild asphyxia and 12 cases severe asphyxia. Abnormal FHR devided into mild VD 20 cases, medium VD 28 cases, severe VD 15 cases, LD 1 case, VD with TDr 9 cases, marked bradycardia 16 cases, and VD with PD 20 cases.Conclusion There were significant difference between abnormal FHR and neonatal asphyxia ( P< 0.01). The second birth process should be pay more attention.

Key words: second birth process, abnormal FHR monitoring, neonatal prognosis

中图分类号:

R714.7

赵友萍;周琦;黄醒华. 第二产程胎心监护异常与新生儿预后的关系[J]. 首都医科大学学报, 2006, 27(3): 414-417.

Zhao Youping;Zhou Qi;Huang Xinghua . Relationship between Monitoring of Abnormal FHR During the Second Birth Process and Neonatal Prognosis[J]. Journal of Capital Medical University, 2006, 27(3): 414-417.