三种超声方法联合检查对胎儿呼吸样运动的评价.docVIP

三种超声方法联合检查对胎儿呼吸样运动的评价 【摘要】nbsp;nbsp;目的：用三种超声方法观察35例孕妇的胎儿有或无呼吸样运动(FBM)。方法：B型观察胎儿躯干，脉冲多普勒观察脐静脉，彩色多普勒观察鼻咽部。结果：三种超声检查的敏感性分别为100％、nbsp;100％、nbsp;96%，nbsp;特异性均为100%。呼吸时间百分比分别为nbsp;49.6%、48.7%、46.9％。窒息时间分别为(170±121)s、(171±132)s、(170±129)s。结论：三种超声方法是评价产前胎儿nbsp;FBM的实用方法且可互相替代。nbsp; 【关键词】nbsp;nbsp;胎儿呼吸样运动nbsp;B型超声描记术nbsp;脉冲多普勒nbsp;彩色多普勒 　　Assessmentnbsp;ofnbsp;Fetalnbsp;Breathingnbsp;Movementsnbsp;Usingnbsp;Threenbsp;Ultrasoundnbsp;Methods 　nbsp;nbsp;nbsp;nbsp;Abstract:nbsp;Objectivenbsp;35nbsp;pregnantnbsp;womennbsp;werenbsp;studiednbsp;tonbsp;determinenbsp;ifnbsp;thenbsp;presencenbsp;ofnbsp;fetalnbsp;breathingnbsp;movements(FBM)nbsp;bynbsp;usingnbsp;therenbsp;differentnbsp;ultrasoundnbsp;imagingnbsp;techniques.nbsp;Methodsnbsp;Usenbsp;realtimenbsp;Bmodenbsp;fornbsp;observationnbsp;ofnbsp;thenbsp;fetalnbsp;trunknbsp;,nbsp;imagenbsp;directednbsp;pulsednbsp;wavenbsp;Dopplernbsp;fornbsp;thenbsp;fetalnbsp;umbilicalnbsp;veinnbsp;andnbsp;Colornbsp;Dopplernbsp;fornbsp;observationnbsp;ofnbsp;thenbsp;fetalnbsp;nasopharynx.nbsp;Resultsnbsp;Itnbsp;confirmednbsp;thatnbsp;thenbsp;sensitivitiesnbsp;ofnbsp;thenbsp;FBMnbsp;presencenbsp;fornbsp;thenbsp;abovenbsp;threenbsp;mentionednbsp;techniquesnbsp;werenbsp;100%nbsp;,100%nbsp;andnbsp;96%,respectivelynbsp;100%nbsp;FBMnbsp;presencenbsp;ofnbsp;thenbsp;specificity.nbsp;Percentagenbsp;ofnbsp;breathingnbsp;timenbsp;werenbsp;49.6%,48.7%nbsp;andnbsp;46.9%,andnbsp;asphyxianbsp;timenbsp;werenbsp;(170±121)s、(171±132)s、(170±129)snbsp;reapectively.nbsp;Conclusionnbsp;Thenbsp;resultsnbsp;showednbsp;thatnbsp;thenbsp;detectionnbsp;ofnbsp;FBMnbsp;bynbsp;therenbsp;differentnbsp;ultadsoundnbsp;modalitiesnbsp;wasnbsp;practicalnbsp;andnbsp;virtuallynbsp;interchangeable. nbsp;nbsp;nbsp;nbsp;Keynbsp;words:nbsp;Fetalnbsp;breathingnbsp;movement；nbsp;Bmodenbsp;ultrasound；Pulsednbsp;wavenbsp;Doppler；Colornbsp;Doppler nbsp;nbsp;nbsp;nbsp;胎儿呼吸样运动(FBM)受中枢神经系统复杂控制，超声监测不仅可研究胎儿呼吸样运动的发育和变化，而且是胎脑功能的一种评价方法。P1att等认为分娩前胎儿nbsp;FBM的有或无与产后Apgar评分相关