孕妇两种不同体位与胎心监护效果的观察比较

曾晓娟+周琳琳+曾丽吟+李瑞云+杨芳+任带娇+彭碧玲

【摘要】目的探讨不同孕妇不同体位对胎心监护效果的观察。方法 选取2012年10月~2013年10月在本院门诊行胎心监护的1180例孕妇为研究对象, 根据随机数字表将孕妇分为观察组及对照组, 其中对照组孕妇行传统常规平卧位胎心监护, 观察组患者取120°角坐在沙发上进行监护, 对比分析两组胎心监护评分、孕妇低血压综合征、胎儿窘迫检出率、患者满意度评分的差异。结果 与对照组相比, 观察组患者胎心反应型发生率稍高, 但P>0.05, 差异无统计学意义, 结果同时有监护意义；观察组患者满意率高、孕妇低血压综合征及胎儿窘迫检出率较低, 差异有统计学意义(P<0.05)。结论 对行胎心监护的孕妇采用坐位或半卧位与传统的平卧位比较差异无统计学意义；却能有效降低孕妇低血压综合征发生率, 提高患者满意度, 方便易接受。

【关键词】孕妇；胎心监测；体位

Comparison on effect of two different positions on fetal heart rate monitoring for pregnant women ZENG Xiao-juan, ZHOU Lin-lin, ZENG Li-yin, et al. Shenzhen Fourth Peoples Hospital, Shenzhen 501033, China

【Abstract】 Objective To investigate effect of different positions on fetal heart rate monitoring. Methods 1180 cases of fetal heart rate monitoring pregnant women were selected for the study from October 2012 to October 2013. All the pregnant women were divided into observation group and control group.The control group were given the traditional horizontal position to monitor the fetal heart rate. The observation group was taken 120-degree angle sitting on the couch to monitor. Comparing and analyzing two groups fetal heart monitoring score, maternal hypotension syndrome, fetal distress difference detection rate and the patient satisfaction scores. Results Compared with the control group, the patients in observation group fetal hair should be slightly higher incidence, but P>0.05, no statistical significance, results and care; patient satisfaction rate high, maternal hypotension syndrome and fetal distress, low detection rate, the difference was statistically significant (P<0.05). Conclusion The fetal heart rate monitoring in pregnant women with sitting or semi supine with the traditional horizontal position without significant difference; it can effectively reduce the incidence of maternal hypotension syndrome, improve patient satisfaction, and more acceptable.

【Key words】 Pregnant women; Fetal heart monitoring; Position对孕期妇女应用胎心监护仪能连续有效记录及观察胎儿胎心心率变化, 有利于了解胎儿宫内情况, 同时也可以了解胎动与胎心及宫缩的关系, 对评价胎儿宫内安危具有一定的临床应用价值［1］。妊娠晚期对孕妇行胎心监护不仅能及时了解胎儿宫内动态的变化, 同时能观察胎儿宫内生长发育状况及对氧气的储备能力, 有助于了解胎儿胎心与宫缩的关系, 对提高胎儿出生质量具有重要的意义［2］。为此, 本文将探讨孕妇不同体位对胎心监护结果的观察, 旨在提高胎心监护结果准确性, 降低不良妊娠结局, 同时方便孕妇, 提高满意度。现报告如下。

1资料与方法

1. 1一般资料选取2012年10月~2013年10月在本院门诊行妇产科检查的1180例孕妇为研究对象, 均为单胎孕妇, 均自愿参与研究。其中……