【摘要】 目的　探讨胎儿电子监护对胎儿宫内窘迫的诊断价值。方法　对住院分娩、胎儿电子监护评分≤ 7分的 5 0例病例分析其分娩结局 ,以评价胎儿电子监护对诊断胎儿宫内窘迫的价值。结果　胎儿电子监护对胎儿宫内窘迫有较大的诊断价值 ,其不同的异常图型对分娩结局的预后的评价有较大的意义。出现可变减速图型的产妇经过积极的治疗大多数有良好的分娩结局 ,出现晚期减速图型的产妇虽然经过同样的治疗 ,但分娩结局较差。结论　胎儿电子监护 (OCT试验和CST试验 )对诊断胎儿宫内窘迫比较敏感 ,绝大多数的胎儿宫内窘迫在代偿期能及时发现并得到积极处理。出现晚期减速图型的产妇胎儿宫内窘迫程度较重 ,分娩结局相对较差 ,需特别提高警惕更多还原

【Abstract】 AIM To explore the diagnosis value of fetal electrical monitor to fetal distress.METHOD We choose 50 patients which fetal electrical monitor below 7 between 2001 to 2002 to analyse their delivery result and evaluate the diagnosis value of the fetal electrical monitor to fetal distress. RESULT Fetal electrical monitor has much valuable in the diagnosis of fetal distress and its variable abnormal figures have more significant to evaluate the result of delivery. Most of patients which fetal electrical monitor showed variable deceleration had better delivery result through positive treatment. When fetal electrical monitor showed late deceleration , patients’ delivery result would be worse although they had be cured in the same way. CONCLUSION Fetal electrical monitor (OCT experiment and CST experiment) is comparative sensitive to diagnosis fetal distress. Most of fetal distress in the compensation period could be found in time and treated actively. The emerge of late deceleration need to be paid more attention because it means the bad result of deceleration.更多还原