Yan P
Union Hospital, Tongji Medical University, Wuhan.
Zhonghua Fu Chan Ke Za Zhi. 1993 Apr;28(4):217-9, 253.
Cardiotocography (CTG) monitoring on admission was performed in 71 patients for 30 to 60 minutes in a semilateral position. Intermittent intrapartum CTG monitoring were performed in 40 of these patients. Admission monitoring might provide information of fetal basic status and predict asphyxia that could develop during labour. There was less intrapartum asphyxia, lower Apgar score, umbilical artery pH < or = 7.10 and meconium stained amniotic fluid in high-score group than that in medium-score group and low-score group (P < 0.05). Admission monitoring had high predictive value of umbilical cord complication in labour and enable to detect them in the early first stage of labour. Fischer's composite score of FHR of admission monitoring was closely related to that of intermittent FHR monitoring in the late first stage of labour. In this study, it is suggested that admission monitoring is a useful, simple, convenient and noninvasive method for screening fetal basic condition. When continuous FHR monitoring is not available, the intermittent intrapartum FHR monitoring in the late first stage of labour is of importance.
71例患者入院时采用半卧位进行30至60分钟的胎心监护（CTG）。其中40例患者在产程中间歇性进行CTG监护。入院监护可能提供胎儿基本状况的信息，并预测分娩过程中可能发生的窒息。高分组合并产时窒息、低Apgar评分、脐动脉pH≤7.10及羊水粪染的情况少于中等分数组和低分数组（P<0.05）。入院监护对分娩时脐带并发症具有较高的预测价值，能够在分娩早期阶段检测到这些并发症。入院监护时FHR的Fischer综合评分与第一产程后期间歇性FHR监护的评分密切相关。本研究表明，入院监护是一种有用、简单、方便且无创的筛查胎儿基本状况的方法。当无法进行连续FHR监护时，第一产程后期间歇性产时FHR监护具有重要意义。
