| 胎心无负荷试验和脑、脐动脉血流超声监测宫内窘迫胎儿预后 |
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| 引用本文： | 滕平,郭永,禹志霞,王春霞.胎心无负荷试验和脑、脐动脉血流超声监测宫内窘迫胎儿预后[J].医学综述,2008,14(21):3335-3337. |
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| 作者姓名： | 滕平 郭永 禹志霞 王春霞 |
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| 作者单位： | 山东省潍坊市妇幼保健院妇产科,山东,潍坊,261011 |
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| 摘 要： | 目的探讨联合应用胎心无负荷试验(NST)和脑、脐动脉血流监测对预测胎儿预后的临床价值。方法对孕37～42周孕妇用胎心监护仪监护,无反应型者再用彩超检测脐动脉血流速度(S/D)值及大脑中动脉血流速度(S/D)值,并对胎儿宫内窘迫者的NST、S/D值、新生儿脐血血气分析和新生儿Apgar评分进行比较分析。结果胎心监护、脐血流与大脑中动脉血流检测均不同程度地存在一定缺陷,各项监测指标均正常者表示胎儿宫内情况良好,各项监测指标均异常者提示胎儿宫内情况危急,需引起高度重视,应采取积极的措施。结论胎心监护、脐血流与大脑中动脉血流检测联合应用可弥补单纯胎心监护、脐血流、大脑中动脉血流检测诊断胎儿宫内窘迫的不足,产后正确诊断新生儿窒息,降低假阳性率及盲目剖宫产率,正确预测胎儿宫内安危及胎儿预后的可靠性。
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| 关 键 词： | 胎心无负荷试验 脐动脉血流检测 大脑中动脉血流检测 脐动脉血血气分析 胎儿预后 |
Study on Fetal Prognosis by Applying Non-stress Test,Blood Flow Testing of Cerebral and Umbilical Arteries |
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| TENG Ping,GUO Yong,YU Zhi-xia,WANG Chun-xia.Study on Fetal Prognosis by Applying Non-stress Test,Blood Flow Testing of Cerebral and Umbilical Arteries[J].Medical Recapitulate,2008,14(21):3335-3337. |
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| Authors: | TENG Ping GUO Yong YU Zhi-xia WANG Chun-xia |
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| Institution: | TENG Ping,GUO Yong,YU Zhi-xia,WANG Chun-xia.(Department of Gynecology , Obstetrics,Maternity , Child Care Hospital of Weifang,Weifang 261011,China) |
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| Abstract: | Objective To explore the clinical significance of predicting fetal prognosis by using non-stress text(NST),blood flow testing of cerebral and umbilical arteries.Methods Fetal heart monitor apparatus is applied to monitor the pregnant women with gestation from 37 to 42 weeks.As to those who have no reaction,color ultrasound is used to test the blood flow speed(S/D)values of umbilical artery and cerebral medium sized artery,and NST and S/D values of those who have fetal distress,blood gas analysis on umbilica... |
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| Keywords: | Non-stress test(NST) Blood flow test of umbilical artery Blood flow test of cerebral medium sized artery Blood gas analysis on umbilical artery Fetal prognosis |
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