摘要
目的分析超声脐血流速度收缩期末与舒张期末峰值比值(S/D)检测联合胎心监护预测胎儿宫内缺氧的临床价值。方法选取2016年4月-2017年8月于河南舞钢公司总医院行产检的174例孕妇,所有产妇均行超声脐血流S/D检测及胎心监护,分析上述检查结果,并与新生儿Apgar评分诊断胎儿宫内缺氧结果比较。结果胎心监护结果显示,无反应型占比10. 92%,超声脐血流S/D检测S/D≥3占比13. 22%,Apgar评分结果显示≤7分占比10. 34%;反应型与S/D <3胎儿宫内窘迫检出率(3. 47%)较无反应型与S/D≥3(66. 67%)低,差异具有统计学意义(P <0. 05)。结论超声脐血流S/D检测联合胎心监护预测胎儿宫内缺氧具有较高的诊断准确性,且安全无创,可作为胎儿宫内缺氧预测的有效方案。
Objective To analysis of the clinical value of the peak ratio( S ≤ D) of flow velocity end-systolic to end-diastolic of umbilical blood by ultrasound combined with fetal Heart monitoring in predicting fetal intrauterine hypoxia. Methods From April2016 to August 2017,174 pregnant women were selected. Ultrasound umbilical blood flow S/D and fetal heart rate monitoring were performed among the selected pregnant women. The above results were analyzed and compared with the diagnosis of fetal intrauterine hypoxia neonatal by Apgar score. Results Fetal heart rate monitoring showed that unresponsive type accounted for 10. 92%.Ultrasound umbilical blood flow S/D≥3 accounted for 13. 22%. Apgar score≤7 accounted for 10. 34%. The detection rate of fetal distress in reactive type and S/D < 3( 3. 47%) was lower than that in unresponsive type and S/D ≥3( 66. 67%). The difference was statistically significant( P < 0. 05). Conclusion Ultrasound umbilical blood flow S/D combined with fetal heart rate monitoring can predict fetal intrauterine hypoxia with high diagnostic accuracy. They are safe and non-invasive and can be used as an effective scheme for predicting fetal intrauterine hypoxia.
作者
张科花
ZHANG Ke Hua(Department of Ultrasound Diagnosis, General Hospital of Wugang General Hospital, Wugang, Henan Province, 462500, China)
出处
《中国妇幼卫生杂志》
2019年第2期88-90,共3页
Chinese Journal of Women and Children Health
关键词
胎儿宫内缺氧
脐血流S/D检测
胎心监护
fetal intrauterine hypoxia
umbilical cord blood flow S/D test
fetal heart rate monitoring
