脐血流频谱改变对胎儿心脑血流动力学及预后影响  

Hemodynamics and Prognostic Impact of Umbilical Cord Blood Flow Spectrum Change on Fetal Cardio-cerebral Flow

作　　者：范春艳[1] 毛东伟[1] 毕伟[1] 

机构地区：[1]哈尔滨医科大学附属第四医院,黑龙江哈尔滨150001

出　　处：《黑龙江医学》2014年第8期927-928,共2页Heilongjiang Medical Journal

基　　金：黑龙江省卫生厅基金项目(2007-422)

摘　　要：目的探讨脐血流频谱改变对胎儿心脑血流动力学及预后的影响。方法选取2008-01-2009-12间经超声检测脐血流频谱改变的76例孕妇,测量并观察脐动脉、脐静脉、大脑中动脉及胎心率,观察脐动脉及脐静脉血流频谱改变与胎儿宫内窘迫发生的关系。结果当脐动脉血流频谱形态表现为舒张期没有血流或出现反向血流时,脐静脉血流频谱异常明显增多;并且在该情况下,胎儿宫内窘迫发生率明显增多。结论应用彩色多普勒超声检测胎儿脐血流频谱改变对胎儿宫内窘迫诊断具有重要临床价值。Objective To investigate effect of changes in fetal umbilical blood flow spectrum on cerebral hemodynamics and prognosis of fetal.Methods Evaluating umbilical blood flow changes in the spectrum of 76 cases of pregnant women by ultrasound from January , 2008 to December , 2009.Measuring and observing the umbilical artery , umbilical vein , middle cerebral artery and fetal heart rate , and investigating the relationship between umbilical blood flow spectrum changing and fetal distress.Results When the umbilical artery diastolic spectral shape didn′t appear blood flow or the reverse flow of blood , umbilical venous flow abnormalities increased significantly.And in this case , the incidence of fetal distress increased significantly.Conclusion The application of color Doppler ultrasound in detecting fetal umbilical blood flow changing has important clinical value to the diagnosis of fetal distress .

关 键 词：脐动脉 脐静脉 彩色多普勒 超声检查 胎儿宫内窘迫 妊娠 

分 类 号：R714.15[医药卫生—妇产科学]