胎心监护联合脐血血气分析及Apgar评分预测羊水粪染新生儿窒息的临床价值OACSTPCD
Predictive value of fetal heart rate monitoring combined with umbilical arterial blood gas analysis and Apgar score for asphyxia neonatorum with meconium-stained amniotic fluid
目的：探讨胎心监护联合脐动脉血气分析及Apgar评分对羊水粪染窒息新生儿的预测价值。方法对585例羊水粪染新生儿进行分娩前胎心监护，出生后立即采集脐动脉血进行pH值测定，进行Apgar评分，分析3项指标与脏器损伤的关系，以及三者联合诊断羊水粪染新生儿窒息的灵敏度、特异度及符合率。结果585例羊水粪染新生儿中共确诊窒息49例，占8．4％。随着pH值、Apgar评分的降低出现脏器损伤的新生儿比例升高（P＜0．05），胎心监护异常组的脏器损伤发生率较正…查看全部>>
Objective To explore the predictive value of fetal heart rate monitoring combined with umbilical arterial blood gas analysis and Apgar score for asphyxia neonatorum with meconium-stained amniotic fluid .Methods A total of 585 neonates with meconium-stained amniotic fluid received the antepartum fetal heart rate monitoring .And the umbilical arterial blood was collected to detect the pH values ,and Apgar score was performed at birth in all neonates .The relat…查看全部>>
杨健红;谭艳丽;唐红;姚毓筠;潘柳萍;文哲
广西梧州市红十字会医院妇产科，梧州市 543002广西梧州市红十字会医院妇产科，梧州市 543002广西梧州市红十字会医院儿科，梧州市 543002广西梧州市红十字会医院妇产科，梧州市 543002广西梧州市红十字会医院妇产科，梧州市 543002广西梧州市红十字会医院妇产科，梧州市 543002
医药卫生
新生儿窒息羊水粪染胎心监护脐动脉血气分析Apgar评分诊断
Asphyxia neonatorumMeconium-stained amniotic fluidFetal heart rate monitoringUmbilical arterial blood gas analysisApgar scoreDiagnosis
《广西医学》 2016 (1)
35-38,4
广西梧州市科技计划项目（201202071）
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