超声脐血流值监测联合胎心监护预测胎儿宫内缺氧的研究价值

　　【摘要】 目的：分析超声脐血流值监测联合胎心监护在预测胎儿宫内缺氧中发挥的作用，阐述两者联合应用的价值。方法：特地选取笔者所在医院收治的孕产妇98例作为研究对象，均行超声脐血流值监测和胎心监护检查，根据诊断的结果将其分为对照组和观察组，对照组均为胎心异常和超声脐血流值异常的孕产妇，有46例，观察组孕产妇的两种监测值均则正常，有52例；比较两组孕产妇宫内缺氧情况的发生情况，比较两组新生儿窒息情况的发生，评估两组新生儿窒息情况的严重程度。结果：观察组新生儿窒息情况和宫内缺氧发生情况均显著优于对照组，新生儿窒息情况的严重程度也明显轻于对照组，差异有统计学意义（P<0.05）。结论：超声脐血值和胎心监护具有良好的预测价值，两组检测值均发生异常的情况下，胎内缺氧和新生儿窒息的发生率高，临床价值高，可广泛用于临床检测。
　　【关键词】 超声脐血流值； 胎心监护； 宫内缺氧； 联合诊断
　　doi：10.14033/j.cnki.cfmr.2018.5.040 文献标识码 B 文章编号 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
　　胎儿宫内缺氧是临床上常见的妊娠并发症，也是引起胎内窘迫、非正常生长发育、孕妇及新生儿死亡的主要原因，及时诊断、及时干预十分重要。胎心监护是临床上最为常规的诊断监测方案，而超声脐血流值检测则是近些年来临床上新兴的用于胎儿宫内缺氧的诊断方法[1]。本文主要就上述两种方法联合检测的效果进行分析，研究详情见下文。
　　1 资料与方法
　　1.1 一般资料
　　本研究特地选取2016年1月-2017年6月收治的孕产妇98例作为研究对象，孕产妇均为初次单胎妊娠，均未有严重的器官病变或是全身性疾病，未有认知障碍；均了解本研究相关内容后自愿参与本研究，根据诊断结果分组研究。
　　1.2 诊断方法
　　孕产妇均行常规胎心监护监测和超声脐血流值检测，方法如下：选择合适的胎心监护仪，孕产妇采取半卧位，共检测20 min，当胎儿处于睡眠状态时应将时间延长至40 min，详细记录孕产妇的胎心监护结果；然后再行超声脐血流值，孕产妇采取平卧位，超声诊断选择合适的探头频率，从腹部以上位置逐渐往下检测[2]，得到超声诊断图像。
　　1.3 观察指标

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