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脐血流检测与胎心监护联合应用预测围生儿结局
引用本文:郭秋琼,周晓莉,袁雪蓉.脐血流检测与胎心监护联合应用预测围生儿结局[J].第一军医大学分校学报,2005,28(2):158-159.
作者姓名:郭秋琼  周晓莉  袁雪蓉
作者单位:惠州市中医院,广东省惠州市,516001;惠州市中医院,广东省惠州市,516001;惠州市中医院,广东省惠州市,516001
摘    要:目的:探讨多普勒脐动脉血流速度检测、无负荷试验(NST)联合应用预测围生儿结局的临床价值.方法:将158例NST监测异常的孕妇分为2组,即高危妊娠组(妊娠合并症组)和正常妊娠组,进行多普勒脐动脉血流阻力(S/D)测定.结果:高危妊娠组围生儿预后不良发生率明显高于正常妊娠组.距最后一次检测时间2 d内分娩的孕妇围生儿,预后不良发生率明显低于3~7 d分娩的孕妇(P<0.05).结论:NST异常、脐动脉血流阻力S/D值正常者,无需过早干预妊娠,可动态观察.NST异常且S/D值异常者,宜尽早终止妊娠.

关 键 词:无负荷试验  脐动脉血流速度  围生儿
文章编号:1009-1793(2005)02-0158-02
收稿时间:2005-12-05
修稿时间:2005年12月5日

Fetal umbilical artery doppler velocimetry examination and NST in estimating perinatal fetal status
GUO Qiu-qiong,ZHOU Xiao-li,YUAN Xue-rong.Fetal umbilical artery doppler velocimetry examination and NST in estimating perinatal fetal status[J].Journal of Branch Campus of the First Military Medical University,2005,28(2):158-159.
Authors:GUO Qiu-qiong  ZHOU Xiao-li  YUAN Xue-rong
Abstract:Objective To study the value of NST and umbilical artery doppler velocimetry examination in estimating perinatal fetal status.Methods 158 gravidas with abnormal NST were divided into two groups: high-risk pregnancy group in which the gravidas had pregnancy accompanied disease;and the normal group as control.Then the resistance indice(S/D) of the umbilical artery was measured.Results Fetus in high-risk pregnancy group had worse prognosis than those in normal group.At the same time,fetus of the gravidas laboured during two days after the last examination had better prognosis thanthose laboured during 3-7 days after the last examination.Conclusion Gravidas with abnormal NST and normal S/D ultrasonography only need dynamic observation while those with abnormal NST and ultrasonography must terminate pregnancy immediately.
Keywords:NST  umbilical artery blood flow velocity  perinatal fetus
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