胎儿生长受限脐血流变化规律及其对围生儿预后的影响  

The Regularity of Umbilical Blood Flow in Fetal Growth Restriction and Its Influence on Perinatal Infant Prognosis

作　　者：赵影庭[1] 余艳红[1] 龚时鹏[1] 王志坚[1] 

机构地区：[1]南方医科大学南方医院妇产科,广东广州510515

出　　处：《郧阳医学院学报》2010年第3期227-229,共3页Journal of Yunyang Medical College

基　　金：广东省重大联合攻关项目(ZKB04701S)

摘　　要：目的:探讨胎儿生长受限(FGR)脐血流变化规律及其对围生儿预后的影响。方法:189例FGR分为脐血流S/D正常(FN)组、S/D增高(FI)组、脐血流缺失或返流(FA)组,对其血流变化规律进行回顾性分析。结果:FGR胎儿脐血流S/D增高率、断流或返流率均明显高于对照组(P<0.001);围生儿预后不良发生率也较高(P<0.01)。结论:并发FGR孕妇应早期干预;S/D增高者出现脐血断流或返流可作为终止妊娠的参考指标。Objective To explore the regularity of umbilical artery blood flow in fetal growth restriction（FGR） and to evaluate its influence on the prognosis of perinatal infants.Methods A retrospective analysis about the regularity of umbilical blood flow was undertaken in 189 cases with FGR.All the cases were divided into three groups according to the value of S/D ratio：FGR with normal S/D ratio（FN group）,FGR with S/D ratio increased（FI group）,FGR with umbilical artery blood flow absent or reflux（FA group）.Results Compared with FN group,the value of S/D ratio were both obviously higher in FI group and FA group（P0.01）,as well as the incidence of unfavourable prognosis in perinatal infants.Conclusion Early intervention should be given in pregnant complicated FGR;the umbilical blood flow absent or influx could be an index for pregnancy termination in pregnant with increasing S/D ratio.

关 键 词：胎儿生长受限 脐血流 围生儿预后 

分 类 号：R714.5[医药卫生—妇产科学]