脐动脉血气改变的非窒息性因素研究进展  

Research Progress in Non-asphyxia Factors of Umbilical Artery Blood Gas Changes

作　　者：王淑荣[1] 张巍[1] WANG Shurong;ZHANG Wei(Neonatal Intensive Care Unit,Beijing Obstetrics and Gynecology Hospital,Capital Medical University.Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院新生儿重症监护室,北京100026

出　　处：《医学综述》2023年第5期946-952,共7页Medical Recapitulate

摘　　要：脐动脉血气分析在产儿科非常重要,为产儿科医师提供了一个更精确的量化指标,已成为目前国际公认的诊断新生儿窒息的标准之一,也为各级医疗机构的产儿科医务人员处理高危儿提供了依据。但脐动脉血气分析的结果会受胎盘早剥、前置胎盘大出血、脐带脱垂及打结、子宫破裂等可导致急性新生儿窒息、酸中毒等因素的影响,而孕妇及胎儿的健康状况、胎儿附属物异常、不同分娩方式及样本采集和检测不规范等非窒息性因素亦可不同程度影响脐动脉血气分析结果。因此,临床应高度重视导致脐动脉血气改变的非窒息性因素,避免因重视不足而做出错误判断。Umbilical artery blood gas analysis is very important in obstetrics and pediatrics,which provides a more accurate quantitative index for obstetricians and pediatricians.It has now become one of the internationally recognized standards for diagnosing neonatal asphyxia,and also provides a basis for obstetricians and pediatricians at all levels to deal with high-risk infants.However,the results of umbilical artery blood gas analysis are affected by factors such as placental abruption,massive hemorrhage from placenta previa,umbilical cord prolapse and knotting,uterine rupture,etc.,which will lead to acute neonatal asphyxia and acidosis.In the mean while,non-asphyxiating factors such as the health status of the pregnant women and fetuses,abnormal fetal appendages,different delivery methods and non-standard sample collection and detection can also affect the results of umbilical artery blood gas analysis to varying degrees.Therefore,great importance should be attached to the non-asphyxiating factors that lead to the change of umbilical artery blood gas in clinical practice,to avoid making wrong judgments due to insufficient attention.

关 键 词：脐动脉血气分析 影响因素 孕妇 胎儿 

分 类 号：R722.1[医药卫生—儿科]