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目的 :探讨脐动脉血气分析与胎心电子监护、新生儿 Apgar评分的相关变化。方法 :随机选择单胎足月分娩的 144例新生儿 ,产前做胎心电子监护 ,分娩时测定脐动脉血气分析 ,出生后 1m in内行 Apgar评分 ,三项监测结果进行比较。结果 :新生儿窒息 2 3例 ,血气分析结果与胎心电子监护、Apgar评分有相关性变化 ;在 p H≤ 7.2 0的 47例中 ,Apgar评分≤ 7分者有 17例 ,占窒息总数的 73.91% ,而且产前胎心电子监护均异常 ;在 p H>7.2 0的 97例中 ,Apgar评分≤ 7分者只有 6例 ,占 2 6 .0 9%。结论 :三种监测方法联合用来监测胎儿宫内缺氧、判断新生儿窒息及酸中毒程度对指导我们正确处理产程及选择分娩方式、降低围产儿病率和死亡率有一定作用 ,三者互为补充
Objective: To investigate the changes of umbilical arterial blood gas analysis and fetal heart monitoring, neonatal Apgar score changes. Methods: One hundred and fourteen newborns of single-term full-term delivery were randomly selected. Prenatal fetal heart electronic monitoring was performed. Umbilical arterial blood gas analysis was performed during delivery. Apgar scores were taken within 1 m after birth. The three monitoring results were compared. Results: In neonates with asphyxia, 23 cases had blood gas analysis results correlating with fetal heart rate monitoring and Apgar score. Of the 47 cases with p H ≤ 7.2 0, 17 cases had Apgar score ≤ 7, accounting for the total number of asphyxia 73.91%, and antepartum fetal heart electronic monitoring were abnormal. Among 97 cases with p H> 7.2 0, only 6 cases (26.6%) had Apgar score ≤7, accounting for 26.90%. Conclusion: The combination of the three monitoring methods to monitor fetal intrauterine hypoxia, to determine the degree of neonatal asphyxia and acidosis to guide us to correctly handle the labor process and choose the mode of delivery, reduce perinatal morbidity and mortality have a certain effect, the three To supplement