胎心监护对产前脐带异常的诊断价值

刘文娟

（陇县人民医院妇产科，陕西 宝鸡，721200）

浏览次数：89次 下载次数：321次

摘要：

目的 分析胎心监护对产前脐带异常的诊断价值。方法 选择2014年1月至2016年1月在本院住院分娩的388例产妇， 年龄23~35 岁，平均年龄（28.21±5.46）岁，采用PHILIPS M 2702A/2703A 胎心监护仪对其进行胎心监护，计算阳性预测值，观察脐带异常实际发生的例数。结果 预测有126例产妇发生胎儿脐带异常，实际胎儿脐带异常118例，阳性预测率为93.7%， 脐带绕颈72例（61.0%）。结论 胎心监护能够有效地监测脐带异常的发生，阳性检测率较高，能够相对准确地监测围产胎儿生理状况，为临床及时处理异常情况提供诊断依据。

关键词：胎心监护；脐带异常；基础胎心率

中图分类号：R715.3 文献标志码：A文章编号：2096-1413(2017)11-0131-02

The value of fetal cardiac monitoring in prenatal diagnosis of umbilical cord abnormality
LIU Wen-juan,
(Department of Obstetrics and Gynecology, People's Hospital of Long County, Baoji 721200, China)

ABSTRACT: Objective To evaluate the diagnosis value of fetal heart monitoring on umbilical cord abnormality. Methods Three hundred and eighty-eight cases of pregnant women whose age was 23~35, the average age was (28.21依5.46) admitted in our hospital from January 2014 to January 2016 were selected. The fetal heart rate was measured with PHILIPS M 2702A/2703A fetal heart monitor. The positive predictive value was calculated, and the occurrences of umbilical cord abnormality was observed. Results According to prediction, there would be 126 cases of fetal umbilical cord abnormalities, while 118 cases of abnormal fetal umbilical cord actually happened. The positive predictive rate was 93.7%, meanwhile 72 cases (61.0%) of umbilical cord around neck were found. Conclusion Fetal heart monitoring can effectively measure the occurrence of umbilical cord abnormalities, with high positive predictive rate, it also can accurately monitor fetal physiology, which will provide the diagnostic basis for clinical abnormalities of fetal.
KEYWORDS: fetal heart monitoring; umbilical cord abnormalities; basal heart rate

参考文献：
[1] 梁碧梅.胎心监护对脐带异常的产前诊断分析[J].中国医药指南,2013,11(9):211.
[2] 梁勇,李伟容,杨贵容.产前产时胎心监护对胎儿窘迫的诊断评价 [J].当代医学,2013,19(7):29.
[3] 范建美.胎儿脐带绕颈产时连续胎心监护316例临床体会[J].当代医学,2013,19(7):89.
[4] 巫寒梅.胎心监护对胎心监护脐带异常的预测价值及542例脐带异常分析[J].中国医药导刊,2012,14(4):566-567.
[5] 陈金华,谢红英,黄桂添.新生儿各种脐带异常的处理方法与结局追踪[J].国际医药卫生导报,2016,22(16):2465-2467.
[6] 路竑璋,塔娜,袁舒.超声检查在诊断胎儿脐带异常的应用价值[J].世界临床医学,2015,9(6):233-235.
[7] 李福敏.胎心监护对脐带异常的临床诊断价值探讨[J].当代医学,2015,21(25):43-44.
[8] 何晓,贾小文,闫星妹,等.胎心监护对胎儿窘迫的诊断价值[J].陕西医学杂志,2011,40(11):1511-1512.
[9] 赵岩岩,佟丽波,杜佳秋,等.胎儿脐血流监测与胎心监护在预测新生儿结局的临床价值研究[J].齐齐哈尔医学院学报,2016,37(15):1934-1935.
[10] 苏瑞金.产时胎心监测提示脐带异常情况的临床观察[J].医学信息,2013,33(14):57-58.
[11] 束萍凤.胎心监护对脐带异常早期诊断的价值[J].中外女性健康研究,2015(17):21-28.
[12] 戴金娣.变异减速与脐带异常关系探讨及临床处理分析[J].中国农村卫生事业管理,2011,30(10):1077-1078.