胎儿宫内缺血缺氧心电图表现的新认知  

New cognition of electrocardiogram of fetal intrauterine ischemia and hypoxia

作　　者：张平 肖淑珠 徐淑婷 

机构地区：[1]深圳市龙岗妇幼保健院心电图室,广东深圳518000

出　　处：《中国产前诊断杂志（电子版）》2017年第4期18-20,共3页Chinese Journal of Prenatal Diagnosis(Electronic Version)

基　　金：深圳市龙岗区科技创新局项目(201620602)

摘　　要：目的探讨胎儿宫内缺血缺氧心电图的主要表现。方法从本院2015年6月开展第二代四通道胎儿心电图技术检测的孕龄≥16周以上孕妇中选取305例胎儿宫内缺血缺氧病例进行追踪研究,对其心电图表现进行分析。结果 305例宫内缺血缺氧胎儿共有283例表现为胎儿心律失常,发生率为92.8%,主要表现为"紊乱型"的胎儿心律失常,其中又以胎儿心动过速、胎儿心动过缓交替性反复出现最为常见;有22例表现为FST段异常偏移,发生率为7.2%,差异有统计学意义(P<0.05)。结论胎儿宫内缺血缺氧的心电图表现与成人表现存在差异,心电图以胎儿心律失常为主要表现。Objective To investigate the main manifestations of electrocardiogram in fetal intrauterine ischemia and hypoxia.Method A follow-up study of305cases of intrauterine ischemia and hypoxia in fetus from the second generation four channel ECG detection of fetal gestational age in more than16weeks pregnant women in our hospital in June2015was carried out and their electrocardiogram was analyzed.Results283cases of 305cases of fetus with intrauterine schemia and hypoxia suffered from fetal arrhythmia and the incidence rate was92.8%,mainly for the"disorder"fetal arrhythmia.That is,fetal tachycardia,fetalbradycardia alternately repeated.22cases showed abnormal migration of FST segment,and the incidence rate was7.2%.The difference was statistically significant(P<0.05).Conclusions The electrocardiogram of fetal intrauterine ischemia and hypoxia is different from that of adult,and the main manifestationof electrocardiogram s fetal arrhythmia.

关 键 词：胎儿心电图 胎儿宫内缺氧 心律失常 心电图表现 

分 类 号：R714.5[医药卫生—妇产科学]