超声羊水指数临界值的探讨  

Exploration of the value of B-Mode ultrasound in the critical value of amniotic fluid index

作　　者：倪爱莉[1] 王平[1] 佟岩[1] 林洁[1] 

机构地区：[1]吉林大学第四医院一汽总医院电诊科,长春市130011

出　　处：《中国厂矿医学》2003年第5期355-356,共2页Chinese Medicine of Factory and Mine

摘　　要：目的 :探讨超声羊水指数临界值。方法 :对 494例≥ 3 7周的足月孕妇进行羊水指数 (AFI)测定 ,临床观察胎儿宫内窘迫及羊水情况。结果 :AFI 5 .1～ 8.0cm的胎儿宫内窘迫 (CFD)、羊水量 (AFQ)过少、胎粪污染 (MSAF)的发生率明显低于AF18.1～ 9.9cm。AFI与CFD、AFQ(≤ 3 0 0ml)、MSAF两组间敏感性比较有非常显著差异 (P <0 .0 5 )。结论 :AFI临界值扩展为 5 .1～ 9.9cm可以明显提高AFI在判定CFD、AFQ(≤ 3 0 0ml)、MSAF时的敏感性 ,对指导临床具有实际意义。Objective:To explore the value of B-Mode ultrasound in the critical value of amniotic fluid index (AFI). Methods:B-Mode ultrasound was performed to determine amniotic fluid index in 494 fetus of normal gestation weeks (≥37 weeks), and observe cavity fetal distress and amniotic fluid in clinic. Results:The morbidity of cavity fetal distress(CFD),less amniotic fluid quantity(AFQ),Excrement pollute amniotic fluid(MSAF),which AFI is 5.1～8.0cm is higher than it is 8.1～9.9cm.There were significant differences in AFI, CFD,AFQ(≤300ml) and MSAF between the two groups(P<0.05). Conclusion:Expand the critical value of AFI to 5.1～9.9cm can develop the susceptibility which use AFI to determine the CFD,AFQ(≤300ml) and MSAF. This have pratical significance to direct clinic.

关 键 词：胎儿 宫内窘迫 羊水指数 临界值 超声波诊断 

分 类 号：R714.43[医药卫生—妇产科学] R714.56[医药卫生—临床医学]