超声联合胎心无负荷试验对胎儿窘迫的诊断价值研究  

Value of Ultrasound Combined With Fetal Non-Stress Test in the Diagnosis of Fetal Distress

作　　者：李凤谊 李振兴[1] 林进[1] 李秋梅[1] 梁理娟 赖华强[1] 蒙万添 

机构地区：[1]肇庆市第二人民医院超声科,广东肇庆526000

出　　处：《哈尔滨医药》2017年第4期334-335,共2页Harbin Medical Journal

基　　金：基金项目:肇庆市科学技术进步奖(2013-J-23@-R7/9)

摘　　要：目的研究超声联合胎心无负荷试验对胎儿窘迫的诊断价值。方法选取接受胎心监护84例孕妇作为研究对象,回顾性分析其临床诊治资料,对比胎儿宫内窘迫者无负荷试验、S/D与Apgar评分。结果 21例NST检查结果表明是胎儿宫内窘迫,11例孕妇NST检查表明无反应型,并且脐血流S/D≥3,4例产妇胎儿大脑中动脉多勒普诊断显示血流S/D≤4,4例新生儿具体Apgar评分≤7分;NST有反应型者与无反应型者、脐动脉血流S/D≥3者与S/D<3者、大脑中动脉血流S/D>4与S/D≤4者Apgar评分比较差异具有显著性(P<0.05)。结论超声联合胎心无负荷试验能够提高新生儿窒息临床诊断正确率,减小剖宫产率或者假阳性率,具有积极应用意义。Objective To study the value of ultrasound combined with fetal non-stress test（NST）in the diagnosis of fetal dis- tress.Methods Eighty-four pregnant women who received fetal heart rate monitoring were selected as the study subjects.The clini- cal data were analyzed retrospectively, and the scores of NST,S/I） and Apgar score were compared.Results NST showed that there was fetal intrauterine distress in 21 cases and no reaction in 11 cases,and the umbilical blood flow S/D 〉3.The fetal cerebral artery Doppler ultrasound of 4 cases showed blood flow S/D 〈4.4 cases of neonatal Apgar scores were 〈7 points.The Apgar scores showed significant differences between cases with and without reactions, cases with umbilical artery blood flow S/D I〉 3 and S/D〈3, cases with cerebral blood flow S/D 〉4 and S/D4 （P〈0.05）.Conclusion Ultrasound combined with fetal NST can improve the ac- curacy of clinical diagnosis of neonatal asphyxia, reduce cesarean section rate or false positive rate.

关 键 词：超声 胎心无负荷试验 胎儿窘迫 诊断价值 

分 类 号：R722.12[医药卫生—儿科]