宫缩期测量脐动脉血流评估胎儿宫内安危的临床价值探讨  

The clinical potential of predicting fetal distress from umbilical artery analysis during uterine contraction

作　　者：郭蓉[1,2] 李琛[1,2] 刘普勇[1,2] 罗永芬[1,2] 谢燕[1,2] 

机构地区：[1]成都市第七人民医院B超室,四川成都610021 [2]成都市第七人民医院妇产科,四川成都610021

出　　处：《四川医学》2008年第8期1087-1089,共3页Sichuan Medical Journal

摘　　要：目的检测宫缩期的脐动脉血流,拟探讨其预测胎儿宫内窘迫的价值。方法选择产程处于潜伏期的临产妇,用彩色多普勒分别在子宫收缩期和子宫收缩间隙期测量脐动脉血流变化。结果132例受试者中发生宫内窘迫的为32例,其中在宫缩期S/D>2.7的共30例,其敏感性、特异性和阳性预测值及阴性预测值分别为88.23%,95.9%,88.23%,95.9%。结论选择测量子宫收缩时的脐动脉血流,更能及时敏感地反映胎儿在宫内的安危,可作为预测胎儿宫内窘迫的筛查。Objective To check and measure the umbilical artery flow during contraction and intermission in latent period,we want to find out the clinical value of this methods in predicting fetal distress. Methods The blood flow of umbilical artery were examined in 132 pregnant women in latent period by color Doppler ultrasonic instrument during contraction and intermit,siam respectively.Results 32 cases showed fetal distress in 132 cases,among them,the value of 30 cases during uterine contraction was not normal（ S/D 〉 2.7）. The sensitivity, specificity, negtive predictive value and positive predictive value were 88.23 % ,95.9 %, 88.23 % ,95,9 % respectively. Conclusion The technique of Doppler Ultrasonic can be used in latent period as a sctreen test to predict the l;etus distress.

关 键 词：超声 脐动脉 子宫收缩 

分 类 号：R714.5[医药卫生—妇产科学]