超声脐动脉S/D值联合胎心率监测对新生儿窒息的临床诊断分析  

Analysis of the Value of S/D Value of Ultrasound Umbilical Artery Combined with Fetal Heart Monitoring in the Diagnosis of Neonatal Asphyxia

作　　者：刘小婧 吴红霞[1] 祝立卷 LIU Xiaojing;WU Hongxia;ZHU Lijuan(Department of Neonatology,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,P.R.China)

机构地区：[1]河北北方学院附属第一医院新生儿科,河北张家口075000

出　　处：《影像科学与光化学》2021年第5期711-715,共5页Imaging Science and Photochemistry

摘　　要：文章分析了超声脐动脉收缩期末最大血流速度(S)/舒张期末最大血流速度(D)值联合胎心率监测对新生儿窒息的临床诊断价值。选取发生新生儿窒息的98例产妇作为窒息组,新生儿正常的98例产妇作为未窒息组,比较两组胎心率监测情况和脐动脉血流动力学指标阻力指数(RI)、搏动指数(PI)、S/D值。分析胎心率监测和S/D值与阿氏评分的相关性,比较胎心率监测和S/D值单一及联合监测对新生儿窒息的诊断效能。结果显示,窒息组胎心率监测异常率(87.76%)高于未窒息组(18.37%)(P<0.05)。窒息组脐动脉RI、PI、S/D值均高于未窒息组(P<0.05)。胎心率监测异常、S/D值与阿氏评分呈负相关(P<0.05)。胎心率监测和S/D值联合检测的灵敏度及准确率均显著高于单一检测(P<0.05)。超声脐动脉S/D值联合胎心率监测对新生儿窒息的诊断效能高于单一检测。The aim of this study was to analyze the clinical diagnostic value of maximum blood flow velocity at the end of systole(S)/peak blood flow velocity at end of diastole(D)combined with fetal heart rate monitoring in the clinical diagnosis of neonatal asphyxia.Ninety-eight parturients with neonatal asphyxia were regarded as the asphyxia group,and normal newborns were regarded as the non-asphyxia group(n=98).The fetal heart rate monitoring and the umbilical artery hemodynamic index resistance index(RI),pulsatility index(PI)and S/D values were compared between the two groups.The correlation between fetal heart rate monitoring,S/D value and Apgar score was analyzed.The diagnostic efficacy of fetal heart rate monitoring and S/D value single or combined monitoring for neonatal asphyxia was compared.The abnormal rate of fetal heart rate monitoring in the asphyxia group(87.76%)was higher than that in the non-asphyxia group(18.37%)(P<0.05).The RI,PI and S/D values of the umbilical artery in the asphyxia group were higher than those in the non-asphyxia group(P<0.05).Abnormal fetal heart rate monitoring and S/D value were negatively correlated with Apgar score(P<0.05).The sensitivity and accuracy of combined detection of fetal heart rate monitoring and S/D value were significantly higher than that of single detection(P<0.05).Ultrasound umbilical artery S/D value combined with fetal heart rate monitoring is more effective than single detection in the diagnosis of neonatal asphyxia.

关 键 词：新生儿窒息 胎心率监测 超声 脐动脉 收缩期末最大血流速度 舒张期末最大血流速度峰值 

分 类 号：R722.12[医药卫生—儿科]