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产时电子胎心监护分类及处理

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电子胎心监护又称之为心分娩力描迹法(cardiotocography,CTG),产时通过三分类评估胎儿宫内状态,对降低新生儿窒息、抽搐等神经系统损伤发生意义重大.Ⅱ类胎心监护图形发生率最高,反映胎儿氧合异常,但产程中产妇使用药物、体位、情绪、疼痛也会导致Ⅱ类胎心监护图形发生,一些影响因素是可逆的,而另一些则需要尽快分娩.临床决策时应充分考虑临床情况,全面评估,以避免过度干预.
Cardiotocography during labour:classification and management
Intrapartum cardiotocography(CTG)is of great significance in reducing the occurrence of ner-vous system damage such as neonatal asphyxia and convulsions by evaluating the intrauterine state of the fetus through the 3-tier system.The incidence of CSTⅡ is the highest,which reflects by abnormal fetal ox-ygenation.Maternal use of drugs,posture,emotion and pain during labor,may also cause CST Ⅱ.some of the factors are reversible,while others call for emergency delivery.In clinical decision-making,clincians should fully consider the clinical situation and make com-prehensive evaluation in order to avoid excessive in-tervention.

intrapartum monitoringcardiotocogra-phy(CTG)acidemiaintrauterine hypoxia

郭晓辉、石苇

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暨南大学第二临床医学院深圳市人民医院产科,广东深圳 518020

产时监护 心分娩力描迹法 酸中毒 宫内缺氧

深圳市"医疗卫生三名工程"项目

SZSM201812078

2024

中国实用妇科与产科杂志
中国医师协会 中国实用医学杂志社

中国实用妇科与产科杂志

CSTPCD北大核心
影响因子:1.97
ISSN:1005-2216
年,卷(期):2024.40(2)
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