常压氧治疗48例胎儿心律失常的疗效观察  

Effect of maternal normobaric oxygen therapy on fetal arrhythmia in 48 cases.

作　　者：卢晓欣[1] 王鸿[2] 汤永健[1] 耿丹明[2] 何苏育[1] 

机构地区：[1]南京军区福州总医院高压氧科,福州350025 [2]南京军区福州总医院超声科,福州350025

出　　处：《中国优生与遗传杂志》2002年第6期69-70,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的　探讨常压氧疗法治疗胎儿心律失常的疗效。方法　经彩色多普勒胎儿超声心动图检查诊断为各类胎儿心律失常 68例 ,采用常压氧疗法 (空气加压高压氧舱 ,1 0 1kPa下面罩 +球囊 1级供氧 ,氧流量 1 0L/min。吸氧 1 5min× 2次 ,每天 1次 ,1 0次 1疗程 )治疗 48例 ,另以未治疗 2 0例为对照。结果　胎儿超声心动图复查显示 ,常压氧治疗组心律失常消失46例 ,痊愈率为 95 8%(46/ 4 8)。未用常压氧治疗组心律失常消失 8例 ,痊愈率 40 0 %(8/ 2 0 ) ,两组比较有显著性差异 (P <0 0 1 ) ;常压氧治疗组在胎儿心律失常消失的同时 ,并存的心包积液、二、三尖瓣返流、胎盘循环功能下降等均消失。结论　缺氧可能是引起胎儿心律失常的原因之一 ;常压氧疗法是安全、有效的治疗方法。Objective: To observe effect of maternal normobaric oxygen therapy on fetal arrhythmia. Methods: Maternal normobaric oxygen therapy was performed with a continuous oxygen flow at 10 L/min through a face mask at 101 kPa in an air compression chamber 15 min twice a day for ten days each course in 48 cases with fetal arrhythmia finally diagnosed by fetal echocardiography. Another 20 similar cases receiving no oxygen therapy served as control. Results :Fetal arrhythmia disappeared in 46 cases (95 8%) after the oxygen therapy, accompanied by the recovery of pericardial effusion, mitral valve and tricuspid valve reflux and insufficient placental circulatory function, compared to only 8 cases (40 0%) where arrhythmia disappeared in the control group (P<0 01) reexamined by fetal echocardiography. Conclusion: Hypoxia may probably play a role in the induction of fetal arrhythmia and maternal normobaric oxygen inhalation might be a safe, efficient therapy for the treament.

关 键 词：围产医学 常压氧 治疗 胎儿 心律失常 疗效观察 

分 类 号：R714.5[医药卫生—妇产科学]