切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2015, Vol. 04 ›› Issue (02) : 90 -92. doi: 10.3877/cma.j.issn.2095-3259.2015.02.007

所属专题: 文献

专家论坛

产程中的胎儿监护
王潇1, 李笑天1,()   
  1. 1. 200011 上海,复旦大学附属妇产科医院产科
  • 收稿日期:2014-12-22 出版日期:2015-05-18
  • 通信作者: 李笑天

Electronic fetal monitoring during delivery

Xiao Wang1, Xiaotian Li1()   

  • Received:2014-12-22 Published:2015-05-18
  • Corresponding author: Xiaotian Li
引用本文:

王潇, 李笑天. 产程中的胎儿监护[J]. 中华产科急救电子杂志, 2015, 04(02): 90-92.

Xiao Wang, Xiaotian Li. Electronic fetal monitoring during delivery[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(02): 90-92.

胎心率受到自主神经系统、化学感受器等多因素影响,是胎儿心脏和延髓对母胎血供、酸中毒和缺氧情况的反映。产时胎心监护用于评估胎儿宫内情况,可分为三级胎心率。根据产时胎心监护对患者进行科学分级管理,将有利于及时识别和处理胎儿宫内缺氧和酸中毒,预防胎儿死亡。

Fetal heart rate is under the control of autonomic nerves system and chemoreceptors, reflecting the fetus heart and medulla in response to the maternal-fetal blood supply, acidosis and anoxia. Electronic fetal monitoring during delivery is used to check the baby′s health in utero and the results are divided into 3 levels. According to the results of electronic fetal monitoring, level-to-level administration is applied for the patients, which is benefit of recognizing and treating fetus hypoxia and acidosis in utero timely and avoides fetal death.

[1]
Vayssière C, Beucher G, Dupuis O, et al. Instrumental delivery: clinical practice guidelines from the French College of Gynaecologists and Obstetricians[J]. Eur J Obstet Gynecol Reprod Biol, 2011, 159(1):43-48.
[2]
Park MI, Hwang JH, Cha KJ, et al. Computerized analysis of fetal heart rate parameters by gestational age[J]. Int J Gynaecol Obstet, 2001, 74(2):157-164.
[3]
Pillai M, James D. The development of fetal heart rate patterns during normal pregnancy[J]. Obstet Gynecol, 1990, 76(5 Pt 1):812-816.
[4]
Nielsen PV, Stigsby B, Nickelsen C, et al. Intra- and inter-observer variability in the assessment of intrapartum cardiotocograms[J]. Acta Obstet Gynecol Scand, 1987, 66(5):421-424.
[5]
Beaulieu MD, Fabia J, Leduc B, et al. The reproducibility of intrapartum cardiotocogram assessments[J]. Can Med Assoc J, 1982, 127(3):214-216.
[6]
Chauhan SP, Klauser CK, Woodring TC, et al. Intrapartum nonreassuring fetal heart rate tracing and prediction of adverse outcomes: interobserver variability[J]. Am J Obstet Gynecol, 2008, 199(6):623.e1-623e5.
[7]
Dell′Anna A, Portuesi A, Angioli R. Evolution of electronic fetal monitoring in labor[J]. Minerva Ginecol, 2014, 66(2):229-237.
[8]
Bernardes J. Electronic fetal monitoring: what′s reassuring?[J]. Acta Obstet Gynecol Scand, 1999, 78(7):657-658.
[9]
Dellinger EH, Boehm FH, Crane MM. Electronic fetal heart rate monitoring: early neonatal outcomes associated with normal rate, fetal stress, and fetal distress[J]. Am J Obstet Gynecol, 2000, 182(1 Pt 1):214-220.
[10]
Clark SL, Nageotte MP, Garite TJ, et al. Intrapartum management of category II fetal heart rate tracings: towards standardization of care[J]. Am J Obstet Gynecol, 2013, 209(2):89-97.
[11]
Honjo S, Yamaguchi M. Umbilical artery blood acid-base analysis and fetal heart rate baseline in the second stage of labor[J]. J Obstet Gynaecol Res, 2001, 27(5):249-254.
[1] 郑国英, 朱晓青. 远程胎心监护联合超声检测对胎儿宫内缺氧的预测效果分析[J]. 中华医学超声杂志(电子版), 2019, 16(04): 288-292.
[2] 中华医学会儿科学分会心血管学组胎儿心脏病协作组, 中华医学会儿科学分会心血管学组围产期先天性心脏病诊疗协作组, 周开宇, 陈笋, 王川, 李一飞, 潘微, 赵博文, 张玉奇, 逄坤静, 丁文虹, 任芸芸, 林建华, 韩波, 吕海涛, 张清友, 武育蓉, 刘保民, 吴琳, 张艳敏, 肖婷婷, 何怡华, 华益民. 胎儿心律失常产前治疗及管理专家指导意见[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(01): 15-29.
[3] 王珊珊, 都凌云, 孙青, 李楠. 电子胎心监护Ⅱ类图形反复性变异减速产妇分娩终止时限对新生儿结局的影响[J]. 中华妇幼临床医学杂志(电子版), 2021, 17(01): 86-92.
[4] 李红雨, 常青, 郑春明, 王丹. 新产程标准实施对低危产妇妊娠结局的影响[J]. 中华妇幼临床医学杂志(电子版), 2019, 15(02): 180-185.
[5] 徐婷婷, 王晓东, 余海燕. 单绒毛膜双羊膜囊三胎妊娠围生期管理及结局分析[J]. 中华妇幼临床医学杂志(电子版), 2018, 14(02): 141-146.
[6] 余海燕, 邓春艳, 刘兴会, 王晓东. 单绒毛膜单羊膜囊双胎妊娠围生结局分析[J]. 中华妇幼临床医学杂志(电子版), 2017, 13(06): 645-651.
[7] 白云波, 徐铭军. 分娩镇痛热点争议[J]. 中华妇幼临床医学杂志(电子版), 2016, 12(06): 739-741.
[8] 杨泽宇, 孙微. 双胎及多胎妊娠胎儿手术围手术期的超声监测[J]. 中华产科急救电子杂志, 2019, 08(01): 22-26.
[9] 刘石萍, 陈倩. 肩难产处理的要点与难点[J]. 中华产科急救电子杂志, 2018, 07(03): 159-161.
[10] 王颖, 赵扬玉. 胎方位异常的管理:面先露[J]. 中华产科急救电子杂志, 2018, 07(03): 156-158.
[11] 陈燕君, 周祎. 胎儿心律失常的诊疗进展[J]. 中华产科急救电子杂志, 2018, 07(01): 20-23.
[12] 黄林环, 罗艳敏. 胎母输血综合征的诊治[J]. 中华产科急救电子杂志, 2018, 07(01): 9-13.
[13] 万波. 产时胎心监测的判读[J]. 中华产科急救电子杂志, 2017, 06(04): 211-215.
[14] 周惠玲, 何志晖. 产时哮喘持续状态的处理[J]. 中华产科急救电子杂志, 2017, 06(02): 70-72.
[15] 李俊男. 产时胎心监护与宫内复苏[J]. 中华产科急救电子杂志, 2017, 06(01): 19-23.
阅读次数
全文


摘要