胎儿窘迫物理诊断的研究进展

近年来随着围生医学的迅速发展,胎儿窘迫的物理诊断方法及观念都有新的发展,胎心率变异性分析的新方法:时域分析法、频域分析法、近似熵分析法;胎儿监护提出不少新观点:全程胎心监护、网络胎心监护、产时监护;胎儿心电图的应用及临床意义有了新发展;超声多普勒方面则有采用胎儿脑-胎盘率(PIMCA/PIUA)和肾-脑率(PIRA/PIMCA)及脐动脉舒张末期血流缺失(AEDV)来预测胎儿低氧;生物物理评分方法的改进。

Study Progress about Physical Diagnosis of Fetal Distress

With the rapid development of perinatology recently,the method and conception related to physical diagnosis of fetal distress also have further development,which includes new analytic method of FHR variability(time domain、frequency domain、approximate entropy).new conception of fetal monitoring(whole range fetal heart monitoring,network fetal heart monitoring,intrapartum monitoring ),development in app;ication and clinical significance of fetal electrocardiogram,development of fetal hypoxia predication by Ultrasound Doppler( fetal cerebro-placental ratio,the fetal renal-cerebral ratio,absent end-diastolic velocity,) and improvement of biophyisical profile scoring.