胎盘成熟度与围产儿结局的临床探讨  

Clinical research of relation between placenta degree of maturity and the newborn prognosis

作　　者：谭小勇 张利平 

机构地区：[1]南充市中心医院,四川南充637000

出　　处：《西部医学》2009年第9期1552-1553,共2页Medical Journal of West China

摘　　要：目的探讨胎盘成熟度超声分级与圉生儿结局的关系。方法选择35~42周正常单胎妊娠孕妇250例，在分娩前1周内进行B超胎盘成熟度超声分级检查。根据Grannum胎盘成熟度分级，分Ⅱ级组和Ⅲ级组，比较两组新生儿预后指标。结果两组间新生儿Apgar评分、新生儿体重差异无显著性，但胎盘Ⅲ级组羊水胎粪污染发生率、胎心监护异常及新生儿转科显著增加（P〈0．05）。结论胎盘成熟度的形态学改变可影响国产儿的预后。Objective To investigate the relation between ultrasound grade of Placenta degree of maturity and the newborn Prognosis. Method Singleton pregnant women who were pregnant 35-42weeks were chose in this test, and were examined the Placenta degree of maturity by ultrasonograph. According to Grannum, subjects were classified to two groups, Ⅱ grade group and Ⅲ grade group, and we compared the prognostic indicator between two groups of newborns. Result Apgar score, newborn weight between two groups were no significant difference, but incidence rate of mcconiurn stain, abnormity of fetal heart monitoring and the rate of newborn transferring to pediatrics increased significantly in Ⅲ grade group （P〈0.55）. Conclusion Morphological change of Placenta degree of maturity can affect the newborn prognosis.

关 键 词：超声检查 胎盘 围产儿 

分 类 号：R722[医药卫生—儿科] R445.1[医药卫生—临床医学]