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目的探讨电子胎心监护对不良妊娠结局的预测价值。方法选择本院产科待分娩的产妇1642例进行胎心监护,观察产妇胎心监护图形,并对妊娠结局进行统计,分析胎心监护结果与不良妊娠结局的相关关系。结果监测结果显示,不良妊娠结局发生率为22.4%,胎儿心电监护图形异常发生率为20.8%,胎心监护图形异常产妇不良妊娠结局发生率为86.2%,胎心监护图形正常产妇不良妊娠结局发生率为5.6%,胎心监护图形异常产妇不良妊娠结局发生率高于胎心监护图形正常产妇(P<0.05)。相关性分析结果显示,胎心监护曲线异常同不良妊娠结局存在正相关关系(r=4.014,P<0.05)。结论电子胎心监护能够间接反应晚期妊娠胎儿生长发育情况,对不良妊娠结局具有一定的预测价值。
Objective To investigate the predictive value of electronic fetal heart monitoring on adverse pregnancy outcomes. Methods 1642 cases of obstetrics and gynecology to be parturied were selected for fetal heart monitoring. The fetus fetal heart monitoring graphics were observed. The pregnancy outcome was analyzed. The relationship between fetal heart monitoring results and adverse pregnancy outcomes was analyzed. Results The monitoring results showed that the incidence of adverse pregnancy outcomes was 22.4%, the incidence of fetal ECG abnormalities was 20.8%, the incidence of unfavorable pregnancy outcomes of abnormal fetal heart rate monitor was 86.2%, and the unfavorable pregnancy outcomes of normal fetal heart rate monitor (5.6%). The incidence of unfavorable pregnancy outcomes in abnormal fetal heart rate monitoring was higher than that in normal fetal heart rate monitoring (P <0.05). Correlation analysis showed that there was a positive correlation between abnormal fetal heart monitoring curve and unfavorable pregnancy outcome (r = 4.014, P <0.05). Conclusion Electronic fetal heart rate monitoring can indirectly reflect the fetal growth and development in late pregnancy, and has certain predictive value for the outcome of adverse pregnancy.