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监测胎儿脑肾动脉血流阻力指数预测胎儿宫内缺氧
引用本文:郑宝群,许映斌,王楚彬. 监测胎儿脑肾动脉血流阻力指数预测胎儿宫内缺氧[J]. 实用医技杂志, 2007, 14(26): 3577-3579
作者姓名:郑宝群  许映斌  王楚彬
作者单位:汕头大学医学院第一附属医院,广东,汕头,515041
摘    要:目的:监测胎儿大脑中动脉、肾动脉血流阻力指标与胎儿宫内缺氧关系。方法:回顾分析200例晚孕孕妇(孕龄>35周,平均38周),探讨胎儿宫内缺氧与胎儿脑、肾动脉阻力之间的关系。结果:胎儿大脑中动脉、肾动脉S/D、PI、RI(三者简称阻力指数),在宫内缺氧的胎儿,大脑中动脉阻力指教降低显著,而肾动脉阻力指数增高明显。若以大脑中动脉S/D<4,PI<1.6,RI<0.6;肾动脉S/D>5,PI>1.9,RI>0.8预测胎儿宫内缺氧有明显的临床实用价值。结论:彩色多普勒监测胎儿大脑中动脉,肾动脉阻力指数,对预测胎儿宫内缺氧有一定的临床意义。

关 键 词:胎儿宫内缺氧  大脑中动脉  肾动脉  阻力指数
文章编号:1671-5098(2007)26-3577-03
收稿时间:2007-06-06

Predicting fetal intrauterine hypoxia by monitoring the blood resistance of MCA and RA
ZHENG Bao-qun,YU Ying-bin,WANG Chu-bin. Predicting fetal intrauterine hypoxia by monitoring the blood resistance of MCA and RA[J]. Journal of Practical Medical Techniques, 2007, 14(26): 3577-3579
Authors:ZHENG Bao-qun  YU Ying-bin  WANG Chu-bin
Affiliation:The First Affiliated Hospital of Medical College of Shantou University, Shantou, Guangdong 515041, China
Abstract:ObjectiveTo study the relationship between fetal intrauterine hypoxia and the blood resistance of MCA and RA. Methods Total of 200 pregnant women with gestation age>35 weeks were examined.Results S/D、PI、RI(the blood resist- ance)of MCA and RA were measured by prenatal color Doppler ultrasound.Resultsin fetal of intrauterine hypoxia,S/D、PI and RI of MCA were decreased significantly;S/D,PI and RI of RA were ascreased significantly.Fetal intrauterine hypoxia was indicated as S/D<4,PI<1.6,RI<0.6 in MCA and S/D>4,PI>1.9,RI>0.8 in RA.Conclusion Monitoring the blood resistance of MCA and RA could play essential role in predicting the status of fetal intrauterine hypoxia earlier.
Keywords:Fetal intrauterine    Middle cerebral artery    Renal artery   Blood resistance
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