超聲臍血流值監(jiān)測聯(lián)合胎心監(jiān)護預測胎兒宮內(nèi)缺氧的研究價值
發(fā)布時間:2018-06-24 來源: 歷史回眸 點擊:
【摘要】 目的:分析超聲臍血流值監(jiān)測聯(lián)合胎心監(jiān)護在預測胎兒宮內(nèi)缺氧中發(fā)揮的作用,闡述兩者聯(lián)合應用的價值。方法:特地選取筆者所在醫(yī)院收治的孕產(chǎn)婦98例作為研究對象,均行超聲臍血流值監(jiān)測和胎心監(jiān)護檢查,根據(jù)診斷的結果將其分為對照組和觀察組,對照組均為胎心異常和超聲臍血流值異常的孕產(chǎn)婦,有46例,觀察組孕產(chǎn)婦的兩種監(jiān)測值均則正常,有52例;比較兩組孕產(chǎn)婦宮內(nèi)缺氧情況的發(fā)生情況,比較兩組新生兒窒息情況的發(fā)生,評估兩組新生兒窒息情況的嚴重程度。結果:觀察組新生兒窒息情況和宮內(nèi)缺氧發(fā)生情況均顯著優(yōu)于對照組,新生兒窒息情況的嚴重程度也明顯輕于對照組,差異有統(tǒng)計學意義(P<0.05)。結論:超聲臍血值和胎心監(jiān)護具有良好的預測價值,兩組檢測值均發(fā)生異常的情況下,胎內(nèi)缺氧和新生兒窒息的發(fā)生率高,臨床價值高,可廣泛用于臨床檢測。
【關鍵詞】 超聲臍血流值; 胎心監(jiān)護; 宮內(nèi)缺氧; 聯(lián)合診斷
doi:10.14033/j.cnki.cfmr.2018.5.040 文獻標識碼 B 文章編號 1674-6805(2018)05-0079-02
【Abstract】 Objective:To analyze the role of ultrasound umbilical blood flow monitoring combined with fetal heart rate monitoring in predicting intrauterine hypoxia,and to explain the value of combined use.Method:98 cases of pregnant women were selected as the research object.Ultrasound umbilical cord blood value and fetal heart rate monitoring were taken for them,the fetal heart rate monitoring and abnormal umbilical cord blood flow abnormalities of pregnant women were 46 cases as the control group,the observation group of maternal monitoring values ??were normal,there are 52 cases,the incidence of hypoxia,compared the two groups neonatal asphyxia occurred,assessing the severity of neonatal asphyxia in both groups were compared.Result:The neonatal asphyxia and intrauterine hypoxia in the observation group were significantly less than those in the control group.The severity of neonatal asphyxia was also significantly lighter in the observation group than that of the control group.The two groups were statistically significant(P<0.05).Conclusion:Ultrasound umbilical cord blood value and fetal heart rate monitoring have good predictive value.In both cases,the incidence of hypoxia and neonatal asphyxia are high and the clinical value are high,can be widely used in clinical detection.
【Key words】 Ultrasound umbilical cord blood flow; Fetal heart monitoring; Intrauterine hypoxia; Combined diagnosis
First-author’s address:Mengzi Municipal People’s Hospital,Mengzi 661199,China
胎兒宮內(nèi)缺氧是臨床上常見的妊娠并發(fā)癥,也是引起胎內(nèi)窘迫、非正常生長發(fā)育、孕婦及新生兒死亡的主要原因,及時診斷、及時干預十分重要。胎心監(jiān)護是臨床上最為常規(guī)的診斷監(jiān)測方案,而超聲臍血流值檢測則是近些年來臨床上新興的用于胎兒宮內(nèi)缺氧的診斷方法[1]。本文主要就上述兩種方法聯(lián)合檢測的效果進行分析,研究詳情見下文。
1 資料與方法
1.1 一般資料
本研究特地選取2016年1月-2017年6月收治的孕產(chǎn)婦98例作為研究對象,孕產(chǎn)婦均為初次單胎妊娠,均未有嚴重的器官病變或是全身性疾病,未有認知障礙;均了解本研究相關內(nèi)容后自愿參與本研究,根據(jù)診斷結果分組研究。
1.2 診斷方法
孕產(chǎn)婦均行常規(guī)胎心監(jiān)護監(jiān)測和超聲臍血流值檢測,方法如下:選擇合適的胎心監(jiān)護儀,孕產(chǎn)婦采取半臥位,共檢測20 min,當胎兒處于睡眠狀態(tài)時應將時間延長至40 min,詳細記錄孕產(chǎn)婦的胎心監(jiān)護結果;然后再行超聲臍血流值,孕產(chǎn)婦采取平臥位,超聲診斷選擇合適的探頭頻率,從腹部以上位置逐漸往下檢測[2],得到超聲診斷圖像。
1.3 觀察指標
相關熱詞搜索:宮內(nèi) 超聲 血流 監(jiān)護 缺氧
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