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目的 :探讨胎心监护 (FHRM )在过期妊娠中判断胎儿情况的可靠性。方法 :86例过期妊娠孕妇入院时做FHRM ,共做181例次。评定以末次FHRM为准 ,于产后 7天对新生儿出生时Apgar评分、对羊水量及性状、胎盘级别与形态、脐带情况和新生儿预后进行随访 ,并与末次FHRM结果相对照。结果 :86例FHRM末次正常图型 5 5例 ,异常图型 31例。围产儿死亡 4例。FHRM与围产儿死亡率对照诊断符合率 98.37%。结论 :FHRM对判断过期妊娠胎儿安危有一定价值 ,并能提供客观指标和图型 ,是检测过期妊娠首选方法。
Objective: To investigate the reliability of fetal heart rate monitoring (FHRM) in the assessment of fetal status in overdue pregnancies. Methods: Eighty-six pregnant women with obesity during pregnancy were admitted to hospital for FHRM. A total of 181 cases were performed. The assessment was based on the last FHRM. Apgar score at birth, amniotic fluid volume and trait, placental grade and morphology, umbilical cord status and neonatal prognosis were tracked at 7 days postnatal and were compared with the results of the last FHRM. Results: There were 54 cases of FHRM last normal pattern in 86 cases and 31 cases of abnormal pattern. Perinatal death in 4 cases. The coincidence rate of FHRM and perinatal mortality was 98.37%. Conclusion: FHRM has some value in judging fetal safety of overdue pregnancy, and can provide objective indicators and patterns, which is the preferred method to detect outdated pregnancy.