胎儿生长受限危险因素的特征分析  

Characteristics Analysis on Risk Factors of Fetal Growth Restriction

作　　者：高侃[1] 曹燚[2] 杨洁[2] 邓宇鲲[2] 曹少曼[2] 

机构地区：[1]北京医院国家老年医学中心超声医学科,北京市100730 [2]北京积水潭医院超声诊断科

出　　处：《中国超声医学杂志》2016年第12期1113-1115,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨胎儿生长受限(FGR)危险因素的孕期分布、对预后的影响及相关关系等特征。方法回顾性分析46例出生体质量<2 500g的低体质量儿及引产病例,对其妊娠期胎儿、母体及胎儿附属物三类危险因素进行随访研究。结果中孕期FGR组与晚孕期FGR组之间危险因素构成及新生儿预后情况均具有显著差异(均P<0.05),母体因素例如妊娠期高血压疾病与羊水量和脐动脉血流搏动指数等胎儿附属物因素之间无明显差异(P>0.05)。结论胎儿生长受限危险因素对其分期和预后有重要影响。妊娠期系统超声筛查及序贯监测胎儿生长发育情况对胎儿生长受限的诊断及治疗具有重要价值。Objective To investigate the risk factors during pregnancy of fetal growth restriction, their influence on prognosis and their correlations. Methods The fetal and maternal condition during pregnancy of 46 cases including low birth weight less than 2 500 g and abortion cases were studied retrospectively. Results The constitution of risk factors and the prognosis of newborn infants had a significant difference between 2nd trimester FGR and 3rd trimester FOR, （both P〈0.05）. There was no significant difference between maternal factors such as hypertensive disorder complicating pregnancy and fetal appendages factor such as blood flow pulsation index of umbilical artery （P〈0.05）. Conclusions Fetal growth restriction risk factors have important influence on its stage and prognosis. Sequential mo- nitoring of fetal growth, development and systematic ultrasound screening during pregnancy have great value for diag- nosis and treatment of fetal growth restriction.

关 键 词：胎儿发育 超声检查 危险因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]