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新生儿预后与妊娠晚期无应激试验
http://www.100md.com 《河北医学杂志》 2006年第12期
无应激试验(NST);,妊娠晚期;,新生儿预后;,新生儿Apgar评分,,无应激试验(NST);,妊娠晚期;,新生儿预后;,新生儿Apgar评分,1资料与方法,2结果,3讨论,参考文献:
     摘要:目的:探讨妊娠晚期无应激试验(简称NST)监护与新生儿预后关系。方法:于妊娠36周后应用NST对286例孕妇进行观察并对新生儿预后进行评估。结果:NST反应型组和异常型组新生儿1分钟Apgar评分≤7分,羊水污染等发生率前者明显低于后者,(P<0.05,NST反应型与异常型预测胎儿预后的阴性预测值、阳性预测值、特异性及及敏感性分别为95.8%、41.6%、75.6%、82.4%。结论: NST可预测胎儿宫内情况并能及时发现宫内异常情况,为临床早期纠正胎儿宫内缺氧提高新生儿出生Apgar评分及改善新生儿预后提供了主要的参考依据。

    关键词: 无应激试验(NST); 妊娠晚期; 新生儿预后; 新生儿Apgar评分

    The Studies of Relationship of Neonatal Apgar Score and Fetal Nonstress in Late Pregnancy

    HUANG Ai-ping

    (The Women and Children Health Care Hospital of Nanhai Distric, Guangdong Foshan 528200, China)

    Abstract:Objective: To study the relationship of fetal nonstress test and Neonatal Apgar score in late pregnancy. Method: Fetal nonstress (NST) was used in 286 patients with late pregnant of 36 weeks. Result: It was significantly lower in received NST group than that in the non NST group (the incidence of infection: P<0.005). The “1-min Neonatal Apgar score” is or less than seven (≤7).There are a positive and negative predictive in fetal adverse outcome of 95.80% and 41.65%, sensitivity of 75.66%, and specificity of 82.45% in reactive and non NST group. Conclusion: NST can be used to predicate fetal anoxia which would provide reliable information for clinicians. ......

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