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改良胎儿生物物理监测过期妊娠68例分析

The improved fetal biophysical surveillance of prolonged pregnancy:Analysis of 68 cases

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【作者】 申庆文孙祥熙陈晞

【Author】 SHEN Qing wen,SUN Xiang xi,CHEN Xi (Department of Obstetrics and Gynecology,Affiliated Hospital of Bengbu Medical College,Anhui 233004 ,China)

【机构】 蚌埠医学院附属医院妇产科!安徽蚌埠233004蚌埠医学院附属医院B超室!安徽蚌埠233004

【摘要】 目的 :比较单项新B超生物物理监测 (BPS)、单项胎心监护无负荷试验 (NST)与两者联合监护对过期妊娠的实用价值。方法 :对BPS(即胎儿呼吸运动、胎动、肌张力、羊水量及NST) 5项进行改良 :去NST为单项监测 ,其余 4项加胎盘分级称新BPS ,两项联合监测称改良BPS ,共监测过期妊娠 6 8例。结果 :联合监测双项异常的新生儿窒息数和羊水Ⅲ°粪染数明显高于联合监护均正常和单项监测异常者 (P <0 .0 0 5 )。结论 :应用改良BPS联合监测胎儿情况明显优于单项监测。

【Abstract】 Objective:To compare the value of single B ultrasound,non stimulation test(NST) and united surveillance used in prolonged pregnancy.Methods:The five items(i.e.:fetal breathing movement,fetal movement,muscle tension,amniotic fluid volume and NST) of B ultrasound biophysical surveillance(BPS) were altered as follows:NST was treated as a solo test,the other four items associated with placenta classification were called new BPS and the new BPS united with NST called improved BPS.Sixty eight cases of prolonged pregnancy were monitored.Results:The number of neonatal asphyxia and Ⅲ° faecal contamination of amniotic fluid in the group with both items abnormal by united surveillance was much higher than that in the group with both items normal or only one items abnormal( P <0.005).Conclusions:The improved BPS is obviously better than solo surveillance.

【关键词】 妊娠,过期胎儿监测
【Key words】 pregnancy,prolongedfetal monitoring
  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medicinae College , 编辑部邮箱 ,2001年06期
  • 【分类号】R714.21
  • 【下载频次】14
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