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胎心监护评估86例ICP孕妇的围产儿预后分析

贾旭艳 王香丽 杨筱凤

中国妇幼健康研究2012,Vol.23Issue(5):617-619,3.
中国妇幼健康研究2012,Vol.23Issue(5):617-619,3.DOI:10.3969/j.issn.1673-5293.2012.05.022

胎心监护评估86例ICP孕妇的围产儿预后分析

Analysis of fetal heart rate monitoring to assess the perinatal outcome of 86 cases of ICP women

贾旭艳 1王香丽 1杨筱凤1

作者信息

  • 1. 西安交通大学医学院第一附属医院,陕西,西安,710061
  • 折叠

摘要

Abstract

Objective To explore the clinical significance of fetal heart rate monitoring in assessing fetal distress in patients with intrahepatic cholestasis of pregnancy ( ICP ) and the impact on perinatal outcome. Methods Eighty-six patients with singleton pregnancy were monitored by Sunray SRF618B5 electronic monitor, and 120 cases of hospitalized singleton pregnancy without any complications were randomly selected over the same period as controls. NST results, delivery mode and perinatal outcome were analyzed and compared between two groups. Results The abnormal rate of fetal heart, cesarean section rate and the rate of unfavorable perinatal prognosis of ICP group were significantly higher than those of control group (X2 value was 74. 184, 138. 487 and 8. 882, respectively, allP<0.05). The rate of unfavorable prognosis of patients with abnormal NST results in two groups was significantly higher than that in normal patients ( X2 value was 11.098 and 21. 845, respectively, both P<0.05 ). There was no perinatal death. Conclusion Strengthening fetal heart rate monitoring of ICP women in the third trimester, early detecting the incidence of hidden fetal distress and timely terminating pregnancy can improve ICP perinatal outcomes significantly.

关键词

妊娠期肝内胆汁淤积症/胎心监护/胎儿窘迫/围产儿预后

Key words

intrahepatic cholestasis of pregnancy ( ICP )/fetal heart rate monitoring/fetal distress/perinatal outcome

分类

医药卫生

引用本文复制引用

贾旭艳,王香丽,杨筱凤..胎心监护评估86例ICP孕妇的围产儿预后分析[J].中国妇幼健康研究,2012,23(5):617-619,3.

中国妇幼健康研究

OACSTPCD

1673-5293

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