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足月妊娠脐动脉血流测定联合胎心监护对胎儿窘迫的预测 被引量:8

Fetal umbilical blood flow examination and non-stress test for the prediction of fetal distress in term pregnancy
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摘要 目的通过脐动脉血流测定联合胎心监护对足月妊娠胎儿窘迫进行预测,以寻求更为准确可靠的诊断方法。方法将研究对象分为三组,联合组即脐动脉血流测定S/D值≥2.5且NST无反应型组;脐血流组即单纯行脐动脉血流测定S/D值≥2.5组和NST组即单纯行胎心监护NST无反应型组;分别了解分娩结局:记录羊水污染,新生儿Apgar评分等指标。结果联合组的羊水污染率,胎儿窘迫率,新生儿窒息率明显高于脐血流组以及NST组。结论胎儿脐血流监护与胎心监护联合应用,可及早发现胎儿窘迫,及时采取适当的干预措施,改善胎儿的预后,减少围产儿的病死率。 Aim To learn about fetal umbilical blood flow examination and non-stress test (NST) for the prediction of fetal distress in term pregnancy in order that more accurately and reliably diagnostic methods may be found. Methods The subjects were divided for testing into three groups:the combining group is two groups of S/D ≥ 2.5 and adiaphoria NST, the umbilical blood flow group is single group of S/D ≥ 2.5, the NST group is single group of adiaphoria NST. All subjectives of delivery were partly realized : meconium staining, Apgar score ere were recorded. Result The combining group had a significantly higher rate than the umbilical blood flow group and adiaphoria NST group. Conclusion Measurement of fetal umbilical blood flow coupled with monitoring of non-stress test may be applied to make an early discovery of fetal distress so that proper interventions may be taken to improve fetal prognosis and reduce the mortality of infants.
出处 《安徽医药》 CAS 2008年第10期923-924,共2页 Anhui Medical and Pharmaceutical Journal
基金 合肥市科研项目(No2006009)
关键词 脐血流检测 胎心监护 胎儿窘迫 measurement of fetal umbilical blood flow non-stress test fetal distress
作者简介 吴艳,女,安徽医科大学在职研究生 通讯作者:丛林,女,教授,硕士生导师
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