胎儿脐动脉血流在羊水过少孕妇检测中的临床意义
羊水过少,,羊水过少;脐动脉血流;临床意义,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 了解多普勒脐血流四个参数血流速度峰谷比(S/D)、脉动指数(PI)、阻力指数(RI)、胎心快速血流比(FBVR)在妊娠晚期羊水过少孕妇中的变化及临床意义。方法 对73例羊水过少孕妇和103例正常对照孕妇的脐血流S/D、PI、RI、FBVR进行产前检测,并追踪分娩结局。结果 羊水过少组与对照组的S/D、PI、RI各值差异无显著性(P>0.05),而羊水过少组中FBVR值较对照组低,差异有非常显著性(P<0.01),两组分娩结局中羊水性状≥Ⅱ度污染,新生儿Apgar评分≤7分的发生率差异无显著性(P>0.05)。结论 FBVR值可作为妊娠晚期监测羊水量、了解胎儿宫内安危状况的敏感指标。【关键词】 羊水过少;脐动脉血流;临床意义
Clinical significance of detecting fetus umbilical arterial blood in gravida with oligohydramnios
LI Ji-hong,MIN Xiang,JIANG Xing,et al.
Department of Obsterics and Gynecology,The Women and Children Health Hospital of Zhuhai,Zhuhai 519010,China
【Abstract】 Objective To comprehend the change and its clinical significance of four Doppler umbilical arterial blood parametes such as blood flow-rate,S/D,PI,RI.FBVR in late trimester of pregnancy with oligohydramnios.Methods S/D,PI,RI,FBVR in these 73 gravidas with oligohydramnios and 103 normal gravidas were detected and followed up.Results The difference were significant in S/D,PI,RI between gravida with oligohydramnios and normal gravida (P>0.05);the FBVR was lower in gravida with oligohydramnios than in normal gravidas significantly(P<0.01);birth outcomes were significantly different in the rate of amniotic fluid ≥Ⅱ° Contamination and neonate Apgers score (P>0.05).Conclusion FBVR is a sensitive marker in detecting amniotic fluid vollum and comprehend fetus status in the late trimester of pregnancy. ......
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