超声生物物理评分及胎儿脐动脉血S/D检测在胎儿宫内窘迫诊断中的应用价值  

The Application Value in Intrauterine Fetal Distress by Ultrasound Biophysical Score and Fetal Umbilical Artery Bblood S/D Detection

作　　者：邓彦明 陶秀红 俞宙力 万建芳 DENG Yan-ming;TAO Xiu-hong;YU Zhou-li(Shanghai Pudong Hospital,Shanghai,201399,China)

机构地区：[1]上海市浦东医院

出　　处：《中国初级卫生保健》2019年第11期54-56,共3页Chinese Primary Health Care

摘　　要：目的分析超声生物物理评分及胎儿脐动脉血收缩期与舒张期流速比(S/D)检测在胎儿宫内窘迫诊断中的应用,为临床诊断提供指导。方法选取2015年1月—2018年12月上海市浦东医院院收治的70例孕妇作为研究对象。采用胎儿电子监护仪、多普勒超声诊断仪测定胎儿生物物理评分(BPS)及脐动脉血S/D。观察孕妇BPS评分和S/D比值分别与新生儿Apgar≤7与羊水污染的关系及BPS评分与S/D值的关系。结果在BPS>6组中,羊水污染Ⅱ度(3.17%)、Ⅲ度(3.17%)和新生儿Apgar≤7(1.59%)明显低于BPS≤6组的28.57%、42.86%和14.29%,而总不良率(6.35%)显著低于BPS≤6组(85.71%),两组比较具有统计学意义(P<0.05)。在S/D<3组中,羊水污染Ⅱ度(3.13%)、Ⅲ度(4.69%)和新生儿Apgar≤7(3.13%)明显低于S/D≥3组的33.33%、16.67%和16.67%,而总不良率(10.93%)显著低于S/D≥3组(66.67%),两组比较具有统计学意义(P<0.05)。在BPS>6组中,S/D<3占比(85.71%)明显高于BPS≤6组(14.29%),而S/D≥3占比(3.17%)明显低于BPS≤6组(42.86%),两组比较具有统计学意义(P<0.05)。结论胎儿BPS评分和脐动脉血S/D对孕妇胎儿宫内窘迫的诊断具有重要的临床意义,可明显降低胎儿死亡率,在临床中值得推广应用。OBJECTIVE To study application value in intrauterine fetal distress by ultrasound biophysical score and fetal umbilical artery blood S/D detection,so as to provide guidance for clinical diagnosis.METHODS 70 cases pregnant women were served as objects of study from January 2015 to December 2018.Fetal biophysical score(BPS)and umbilical artery blood S/D were measured by fetal electronic mon itor and Doppler ultrasound diagnostic instrument.The relationship between BPS score and S/D ratio and neonatal Apgar<7 and amniotic fluid pollution,and the relationship between BPS score and S/D value were observed,respectively.RESULTS Amniotic fluid pollution degree II(3.17%)degreeⅢ(3.17%)and Apgar≤7(1.59%)in BPS>6 groups were statistically lower than(28.57%)(42.86%)and(14.29%)in BPS≤6 groups,while total adverse rate(6.35%)was statistically lower than(85.71%)in BPS≤6 groups,the difference was statistically significant(P<0.05).Amniotic fluid pollution degree II(3.13%)degreeⅢ(4.69%)and Apgar≤7(3.13%)in S/D<3 groups were statistically lower than(33.33%)(16.67%)and(16.67%)in S/D≥3 groups,while total adverse rate(10.93%)was statistically lower than(66.67%)in S/D≥3 groups,the difference was statistically significant(P<0.05).S/D<3(85.71%)in BPS>6 groups were statistical ly rather than 14.29%in BPS≤6 groups,while S/D≥3(3.17%)was statistically lower than(42.86%)in BPS≤6 groups,the difference was statistically significant(P<0.05).CONCLUSION Fetal BPS score and umbilical artery blood S/D had important clinical significance in the diagnosis of fetal distress in pregnant women,and could significantly reduce fetal mortality,which was worthy of promotion and application in clinical practice.

关 键 词：生物物理评分 脐动脉血流速度 胎儿宫内窘迫 胎儿监测 羊水污染 诊断价值 

分 类 号：R1-9[医药卫生—公共卫生与预防医学]