声振刺激后胎儿生物物理相超声评分判断高危妊娠围生儿预后的研究  

作　　者：任金河[1] 刘钰铮[1] 王艳[1] 

机构地区：[1]临沂市人民医院,山东临沂276000

出　　处：《山东医药》2005年第29期15-16,共2页Shandong Medical Journal

基　　金：临沂市科技局立项课题[200-2-27(1)-2]

摘　　要：目的探讨声振刺激后胎儿生物物理相(BPS)超声评分判断高危妊娠围生儿预后的价值。方法声振刺激后对208例高危妊娠孕妇进行BPS超声评分。结果声振刺激后胎儿BPS超声评分≤5分组中胎儿羊水污染率、1m in A pgar评分≤7分发生率、围生儿死亡率均明显高于BPS超声评分≥6分组(P<0.05),声振刺激后胎儿BPS超声评分预测胎儿结局异常阳性值、阴性值、特异度、敏感度分别为93.94%、78.68%、98.57%、65.58%。结论声振刺激后BPS超声评分早期判断胎儿宫内缺氧状态具有准确、省时、简便、敏感性和特异性高等优点,可为临床及时纠正胎儿宫内缺氧提供可靠依据。Objective： To predict high-risk pregnancy （HRP）with ultrasonic score of BPS who were underwent sound stimulus. Methods： 208 HRP who underwent sound stimulus were observed by using ultrasonic-score of BPS. Results： The pollution of amnionic fluid, the incidence of Apgar≤7 after 1 minute and the perinatal mortality rate in the group of BPS≤5 were significantly higher than that in the group of BPS≥6（P〈0.05）. To predict dysplasia with ultrasonic score of BPS,the positive predictive value, negative predictive value, specificity and sensitivity were 93.94%,78.68%,98.57%,65.58% respectively. Conclusion： There are many advantages such as higher specificity and sensitivity to diagnosis fetal hypoxia by using ultrasonic-score of BPS. It provides a reliable way to find fetal hypoxia in early stage.

关 键 词：高危妊娠 胎儿生物物理相 

分 类 号：R714.5[医药卫生—妇产科学]