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Tei指数评估妊娠晚期正常胎儿心室功能的研究
引用本文:陈莞春,段学蕴,郑穗瑾.Tei指数评估妊娠晚期正常胎儿心室功能的研究[J].陕西医学杂志,2007,36(4):410-412.
作者姓名:陈莞春  段学蕴  郑穗瑾
作者单位:1. 广东省东莞市厚街医院,东莞,523945
2. 西安交通大学医学院第二附属医院
摘    要:目的探讨正常胎儿左、右心室的Tei指数在评价胎儿心脏收缩和舒张功能中的作用及其影响因素。方法应用多普勒超声心动图测量61例孕龄28~40周的胎儿左、右心室多普勒时间间期,获得等容收缩及舒张时间和射血时间,计算左、右心室Tei指数,分析孕龄、心率对此指数的影响及左、右心室Tei指数的相关性。结果妊娠晚期正常胎儿左心室平均Tei指数为0.360±0.089,右心室平均Tei指数为0.351±0.097,两者具有相关性,但无明显差异(P>0.05)。孕龄与左心室、右心室Tei指数不相关。胎心率与左心室、右心室Tei指数不相关。结论Tei指数不受孕龄及胎心率的影响,可用来观察各种情况下的胎儿心功能变化。

关 键 词:妊娠末期  胎儿  心室功能  超声心动描记术  多普勒  彩色
修稿时间:2006-08-20

The third trimester normal fetal cardiac function assessed by Doppler myocardial performance index (Tei Index)
Chen Guanchun,Duan Xueyun,Zhen Suijin.The third trimester normal fetal cardiac function assessed by Doppler myocardial performance index (Tei Index)[J].Shaanxi Medical Journal,2007,36(4):410-412.
Authors:Chen Guanchun  Duan Xueyun  Zhen Suijin
Institution:Dongguan 523945
Abstract:Objective : To explore the influence factors of Tei index in assessing systolic and diastolic function of fetal heart in the third trimester .Methods: Doppler waveforms of the left ventricular and right ventricular outflow tracts were obtained in 61 fetuses of the third-trimeser. The isovolumic contraction time and isovolumic relaxation time (ICT+IRT) and ejection time (ET) were measured and the Tei was calculated with the formula (ICT+IRT)/ET. Results: The mean Tei index in third trimester fetuses (28-40 weeks gestation) was :left ventricular(0.360±0.089);right ventricular (0.351±0.097).Conclusion:Tei index is not binfluenced by pregnant age and heart rate . Tei index can be easily obtained in the fetuses without the need for precise anatomic imaging . Tei index may be useful to explore fetal myocardial funtion in different clinical situations.
Keywords:Pregnance trimestrr  third Fen Ventricular function Echocardiography  doppler  color
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