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目的:探讨妊娠晚期联合仪器监护,判断胎儿宫内的安危及预后。方法:对276例孕(36～42)周的住院孕妇联合应用胎心无负荷试验(NST)及彩超下对胎儿进行生物物理评分(BPS),同时追踪记录产后新生儿1分钟Apgar评分、产时羊水有否污染及围产儿预后。结果:胎心无负荷试验(NST)监测胎儿无反应型组的生物物理评分(BPS)≤5分者的产后羊水污染、1分钟Apgar评分≤7分者发病率明显高于NST反应型组且BPS≥6分组(P<0.01)。结论:联合应用NST及BPS,弥补了单纯NST,BPS预测胎儿的不足,联合监护能提高预测的准确性,为指导临床及时纠正宫内缺氧提供可靠依据。
OBJECTIVE: To investigate the monitoring of joint instrument in the third trimester of pregnancy to evaluate the safety and prognosis of the fetus. Methods: 276 pregnant women (36-42 weeks) were enrolled in this study. Fetal heart rate test (NST) and color Doppler ultrasound were used to evaluate the biophysical score (BPS). At the same time, the Apgar score of 1 minute postpartum neonatal When the amniotic fluid pollution and perinatal prognosis. Results: Fetal heart no-load test (NST) was used to monitor the amniotic fluid contamination after birth in non-reactive fetal biochemical group (BPS) ≤5, and the incidence of Apgar score≤7 at 1 minute was significantly higher than that in NST reactive group BPS≥6 group (P <0.01). Conclusion: The combination of NST and BPS can make up for the shortage of NST and BPS predicting fetus. The combined monitoring can improve the accuracy of prediction and provide a reliable basis for direct clinical correction of intrauterine hypoxia.