胎儿脐动脉血流技术在围产医学中的应用效果观察  

Observation on the Application Effect of Fetal Umbilical Artery Hemodynamic Technique in Perinatal Medicine

作　　者：曹英姿 陈肖珍 Cao Yingzi;Chen Xiaozhen(Department of Obstetrics and Gynecology,Guangning County Maternal and Child Health Hospital,Guangning 526300,Guang-dong Province,China)

机构地区：[1]广宁县妇幼保健院妇产科,广东广宁526300

出　　处：《中外医药研究》2023年第31期133-135,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2021年度肇庆市科技创新指导项目(编号:20210403109013)。

摘　　要：目的:分析在围产医学中胎儿脐动脉血流技术的应用效果。方法:选取2021年6月—2023年6月在广宁县妇幼保健院妇产科检查、分娩的孕妇100例作为研究对象,根据随机分组方式分为对照组和研究组,各50例。对照组给予常规方法检查,研究组给予胎儿脐动脉血流技术。比较两组孕妇对检查方式的满意度、不良妊娠结局与分娩方式;根据是否宫内窘迫把研究组分成宫内窘迫组、非宫内窘迫组两个亚组,比较胎儿脐动脉血流参数。结果:研究组对检查方式总满意度高于对照组,差异有统计学意义(P<0.05);研究组羊水污染率、宫内窘迫率低于对照组,自然分娩率高于对照组,差异有统计学意义(P<0.05);在研究组孕妇中,非宫内窘迫组收缩期峰值血流速度/舒张末期血流速度、搏动指数、阻力指数均低于宫内窘迫组,差异有统计学意义(P<0.05)。结论:在围产医学中,胎儿脐动脉血流技术的应用不仅可提高孕妇对于检查的满意度,还可减少胎儿宫内窘迫发生的风险,帮助医生判断胎儿情况。Objective:To analyze the application effect of fetal umbilical artery hemodynamic technique in perinatal medicine.Methods:100 pregnant women who were examined and delivered in the Department of Obstetrics and Gynecology of Guangning County Maternal and Child Health Hospital from June 2021 to June 2023 were selected as the study subjects,and were divided in⁃to the control group and the study group according to the randomized grouping method,each with 50 cases.The control group was given conventional examination and the study group was given fetal umbilical artery hemodynamic technique.The two groups were compared in terms of satisfaction degree of patients with the method of examination,adverse pregnancy outcome and mode of deliv⁃ery.The study group was divided into two subgroups,intrauterine distress group and non-intrauterine distress group according to the presence or absence of intrauterine distress,and the fetal umbilical artery hemodynamic parameters were compared.Results:The total satisfaction of the women in the study group with the examination method was higher than that of the control group,and the difference was statistically significant(P<0.05);the rates of amniotic fluid contamination and intrauterine distress in the study group were lower than that of the control group,and the rate of natural childbirth was higher than that of the control group,and the difference was statistically significant(P<0.05);among the pregnant women in the study group,peak systolic to end diastolic blood flow velocity ratio,the pulse index,and the resistance index of the non-intrauterine distress group were all were lower than those in the intrauterine distress group,and the difference was statistically significant(P<0.05).Conclusion:In perinatal medicine,the application of fetal umbilical artery hemodynamic technique can not only improve the satisfaction of pregnant women with the ex⁃amination,but also reduce the risk of intrauterine distress,and help pratitioners to determine the condition of the fetus.

关 键 词：围产医学 胎儿脐动脉血流技术 宫内窘迫 

分 类 号：R71[医药卫生—妇产科学]