【中图分类号】R714 【文献标识码】A 【文章编号】1672-3783(2011)02-0002-02

    【摘要】目的:在第二产程连续行胎心监测,能够及早发现胎儿宫内窘迫,及时处理以降低新生儿窒息率。方法:本文回顾分析了沂南县人民医院妇产科2008年1月至2010年3月120例阴道分娩第二产程胎心监护的异常波形。结果:胎心监护异常波形以可变减速最多,新生儿窒息程度与胎心监护异常图形有关。轻度窒息以轻中度可变减速为主,重度窒息以可变减速伴延长减速为主,异常图形出现至胎儿娩出时间与窒息有关。结论:第二产程胎心监护异常图形能预测围生儿结局,指导及时准确处理,降低围生儿的发病率、死亡率。

    【关键词】第二产程；胎心监护异常；新生儿窒息

    【Abstract】Objective:The purpose of a continuous line of second stage fetal heart rate monitoring, fetal distress can be detected early, timely treatment to reduce the rate of neonatal asphyxia. Methods:This retrospective analysis of the Yinan County People’s Hospital from January 2008 to March 2010 99cases of vaginal delivery of the second stage of abnormal fetal heart rate monitoring waveforms. Abnormal fetal heart rate monitoring results to a variable deceleration waveform highest level of neonatal asphyxia with abnormal fetal heart rate monitoring relating to the figure. The mild to moderate variable deceleration mainly mild and severe asphyxia with prolonged deceleration to slow down the main variable, abnormal graphics appear to suffocate the baby is delivered on time. Conclusion:The abnormal second stage fetal heart rate monitoring graphics can predict the outcome of perinatal children, guiding timely and accurate processing and reduce the incidence of perinatal child mortality. ...... 婵″倹鐏夐幃銊ユ躬娴ｈ法鏁ら幍瀣簚缁涘绁︾憴鍫熸閺冪姵纭堕弻銉ф箙閹存牔绗呮潪钘夊弿閺傚浄绱濋崣顖濆厴閺勵垵顫﹂幖婊呭偍瀵洘鎼告径杈╂埂閳ユ粏娴嗛惍浣测偓婵撶礉鐠囬鍋ｉ崙璇茬潌楠炴洘娓舵稉瀣煙閻ㄥ嫧鈧粎鏁搁懘鎴犲閳ユ繃鍨ㄩ垾婊冨斧缂冩垿銆夐垾婵婎問闂傤喓鈧拷


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瀵邦喕淇婇弬鍥╃彿  閸忚櫕鏁為惂鐐  鐠囧嫯顔戦崙鐘插綖  閹兼粎鍌ㄩ弴鏉戭樋