脐动脉血激活素A对胎儿窘迫的预测价值

目的:探讨分娩时脐动脉血激活素A(ACTA)水平预测胎儿窘迫的意义。方法:对92例孕妇分娩时留取脐动脉血检测ACTA水平,根据新生儿窒息分度不同时ACTA的水平,分析它们之间的关系。结果:胎儿窘迫组脐动脉血ACTA水平明显高于对照组,两组比较差异有统计学意义(P0.05);新生儿重度窒息组脐动脉血ACTA水平明显高于轻度窒息组(P0.05);顺产组和剖宫产组脐动脉血ACTA水平,两组比较差异无统计学意义(P0.05)。结论:脐动脉血ACTA水平对胎儿窘迫有预测价值,可作为一种新的指标来预测胎儿窘迫。

The predictive value of active A in umbilical artery blood for fetal distress

Objective:To explore the significance of active A level prognosis for fetal distress.Methods:The active A levels in umbilical artery blood were detected from 92 pregnant women,their relationship was analyzed according to active A levels of cases with different degrees of asphyxia.Results:The active A level in umbilical artery blood of fetal distress group was significantly higher than that of control group (P<0.05); the active A level in umbilical artery blood of severe fetal distress group was significantly higher than that of mild fetal distress group (P<0.05); there was no significant difference in active A level in umbilical artery blood between spontaneous labor group and cesarean section group (P>0.05).Conclusion:The active A level in umbilical artery blood has a predictive value for fetal distress,which can be used as a new index of predicting fetal distress.