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目的探讨第二产程中胎心监护变异减速持续时间长短与新生儿结局的关系。方法选取在本院分娩第二产程中胎心监护出现间歇或反复变异减速者,共256例。分别记录其变异减速时间、Apgar评分、出生时脐动脉血气分析、新生儿窒息例数。结果 p H值和低Apgar评分对照组与试验2、3组有统计学差异,新生儿窒息对照组与试验3组有统计学差异。结论当第二产程中胎心监护变异减速持续时间大于60min时,新生儿预后存在显著性差异,为避免新生儿严重并发症和后遗症,建议在间隙性变异减速持续1h内终止妊娠。
Objective To investigate the relationship between the duration of fetal dementia variability and neonatal outcome in the second stage of labor. Methods selected in our hospital labor during the second stage of labor fetal guardianship intermittent or repeated mutation deceleration, a total of 256 cases. Respectively recorded changes in deceleration time, Apgar score, birth umbilical artery blood gas analysis, neonatal asphyxia cases. Results There was a significant difference between the p H value and the Apgar score in control group and those in experimental group 2 and 3, and there was a significant difference between asphyxia group and experimental group 3. Conclusion When the duration of decelerated fetal heart rate monitoring in the second stage of labor is longer than 60 minutes, there is a significant difference in the prognosis of the newborn. To avoid the serious complications and sequelae of the newborn, it is recommended to terminate the pregnancy within 1 hour after the lag mutation has lasted.