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脐血流检测在产前检查中的应用

Application of Umbilical Blood Flow Monitoring in the Prenatal Examination
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摘要 目的 :探讨脐血流检测在产前检查中的应用。方法 :使用胎儿脐血流检查测仪 ,对孕 2 4+ 6~ 40 + 6周的孕妇共 385人进行检测 ,连续超声波探测胎儿脐动脉血流 ,测量S/D、PI、RI、FVR值 ,结果由电脑自动分析。结果 :检出脐血流异常共 6 0人 (占 15 6 % ) ,S/D异常为主有 36人 (9 4% ) ,余 2 4人为PI、RI、FVR值异常 (占 6 2 % )。检测出脐带绕颈 115人 (占 2 9 8% )。脐血流异常孕妇分娩的新生儿发生IUGR、新生儿窒息的机率也大 ,与正常脐血者比较差异显著 (P <0 .0 5 )。结论 :脐血流检测可以作为一种很好的产前监护方法 ,能及早发现IUGR、妊高征、胎儿先天性心脏病、胎儿宫内缺氧、脐带绕颈等异常情况。 Objective:To study the application of umbilial blood flow monitoring in the prenatal examination. Methods:385 pregnant women,pregnancy of 24 +6 to 40 +6 weeks, were examined with foetal umbilical blood flow detector. The S/D?PI ?RI and FVR were measured by continuous ultrasonic detection of the fetal umbilical artery flow,then the result was analyzed by computer. Results: Abnormal umbilical blood flow was detected in 60 pregnant women(15.6%). The abnormal S/D was found in 36 casec (9.4%),and abnormal RI?PI and FVR in 24 cases(6.2%). Umbilical cord reeling fetal neck was found in 115 pregnant women(29.8%). The incidences of intrauterine growth retardation (IUGR) and neonatorum asphyxia significantly increased in pregnant women with abnormal umbilical blood flow ( P <0.05). Conclusions: The monitoring of umbilical blood flow is a good way in prenatal care.
作者 钟为平
出处 《广州医学院学报》 2001年第3期54-55,60,共3页 Academic Journal of Guangzhou Medical College
关键词 产前检查 脐血流检测 临床诊断 产前监护 治疗方法 prenatal examination umbilical blood flow monitoring application
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