超声检测S/D比值联合胎心监护预测胎儿宫内缺氧的应用分析  

Application of Ultrasonic Testing S /D Ratio Combined Fetal Monitoring in Predictive Analysis of Fetal Hypoxia

作　　者：尹维[1] 何芬[1] 

机构地区：[1]绵阳市人民医院产1科,四川绵阳621000

出　　处：《医学综述》2013年第23期4403-4405,共3页Medical Recapitulate

摘　　要：目的探讨超声检测收缩压与舒张压(S/D)比值联合胎心监护预测胎儿宫内缺氧的价值。方法选择绵阳市人民医院2011年3月至2013年4月住院治疗的110例妊娠高血压综合征患者为妊高征组,并同期选择分娩正常孕妇120例为分娩正常组,全部行脐血流S/D的检测,并进行胎心监护,记录两组受试者围生儿结局,并对脐血流S/D以及胎心监护的检测结果与妊娠高血压患者围生儿的关联性进行分析。结果两组在新生儿窒息发生率以及胎儿宫内窘迫方面比较,妊高征组显著高于分娩正常组,差异有统计学意义(P<0.01);胎心监护与脐血流S/D异常结果比较,妊高征组显著高于分娩正常组(P<0.01);妊高征组中的脐血流S/D与胎心监护异常对围生儿结局有较大影响。结论脐血流S/D检测联合胎心监护对预测妊娠高血压综合征患者是否会出现胎儿宫内缺氧有重要应用价值,是十分重要的判定指标,值得产科临床推广与应用。Objective To explore the clinical value of ultrasound in obstetrics detect systolic and dias- tolic blood pressure ratio（S/D） values combined with fetal monitoring for predicting fetal hypoxia. Methods From Mar. 2011 to Apr. 2013 in People＇s Hospital of Mianyang, 110 patients with pregnancy induced hypertension syndrome were selected as object of this study as the observation group, and 120 cases of normal pregnancy during the same period were included in this study as control group, all of the patients received cord blood flow detection of S/D and fetal heart rate monitoring, two sets of perinatal outcome were recorded, and S/D of umbilical blood flow and fetal heart rate monitoring test results correlation with perinatal child of pregnancy-induced hypertension patients were analyzed and summarized. Results The incidence of neonatal asphyxia and fetal distress of the observation group were significantly higher, with statistically significantly difference （P 〈 O. O1 ）, fetal heart rate monitoring and umbilical blood flow S/D abnormal results of the obser- vation group was higher with statistically significant difference （ P 〈 0.01 ） , umbilical blood flow S/D and fetal heart rate monitoring anomaly in the observation group had a greater impact on perinatal outcomes. Con- clusion Umbilical blood flow S/D detection joint fetal heart rate monitoring has an important application value for prediction of fetal hypoxia in PIH,it is an important index, which is worth of promotion and applica- tion in obstetrics.

关 键 词：胎心监护 脐血流 胎儿宫内窘迫 妊娠高血压综合征 

分 类 号：R445.1[医药卫生—影像医学与核医学]